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* 1. Parent/Guardian/Adult Names

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* 2. Parent/Guardian/Adult  Address

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* 3. Parent/Guardian/Adult Phone Number(s)

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* 4. Parent/Guardian/Adult  Email Address (We have to have this in order to send you the VBS content each week)

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* 5. Children's Names and Dates of Birth

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* 6. Home Church (if applicable)

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* 7. How did you hear about Backyard VBS?

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* 8. We will provide a box of craft supplies needed for each lesson.  It will contain the supplies needed for the number of children you listed.  Would you like us to prepare a box for your household?

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* 9. We are very excited to be able to get this children's ministry out to our community and to share it with as many families as possible.  Do you know someone we should share this with?  What is their email address? 

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* 10. Do you have anything else you would like to share with us? Suggestions or comments?

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