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* 1. Child's information (You will need to register each child separately)

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* 2. Nickname (for name tags)

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* 4. Parent/Guardian:

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* 5. Person to contact in Emergency during VBS:

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* 6. Person to contact in Emergency during VBS if first person isn't available:

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* 7. Do you have allergies, physical, dietary or behavioral concerns or limitations? (Please note we cannot dispense medication, however, please bring bee-sting kits, inhalers or other necessary items.)

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* 8. Any other information about your child's registration that we should know?:

Music CDs ($5.00) & VBS t-shirts ($6.00) can be purchased online after completing registration.

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