12700 Black Forest Lane, Wdbg  22192
Mon., July 29- Fri., Aug. 2  6:00-8:30(light supper at 5:30pm)

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* 1. Child's/Children's Names,  Ages and birthdays,  Last school grades completed

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* 2. Parent's name, address (including zip code),  home phone #

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* 3. Parent or caregiver cell phone,  e-mail,  home church

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* 4. Does your child have any allergies or medical concerns?

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* 5. In case of emergency, who would you like us to contact?

contact name
phone number (cell)
relationship to child

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* 6. T-shirt sizes (will cost $5.00 each)-you may order more than 1

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* 7. Additional questions, comments, and concerns can be added to this section. If you would like to contact a VBS coordinator directly please contact Ashley Foster at: cpccd.ashleigh@gmail.com

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