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* 1. Children's names and ages (children who have completed JK-Grade 5)

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* 2. Please enter your contact information.

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* 3. Who should we contact in the case of emergency? How should we contact this person/these people?

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* 4. A snack will be served each day at the Vacation Bible Camp. Does your child have any food allergies or other relevant medical conditions?

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* 5. How did you hear about us?

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* 6. Do you have any other comments or questions?

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