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Parent/Guardian 1

First Name

Last Name

Parent/Guardian 2

First Name

Last Name

Contact Phone #1

Contact Phone #2

Contact Email

We are attending the following dates:

Wednesday August 7 from 5pm-7pm

Thursday August 8 from 5pm-7pm

Friday August 9 from 5pm-7pm

Closing Ceremonies - Sunday August 11 at 10am

Child Name

First Name

Last Name

Age as of VBS

Child 2

First Name

Last Name

Age as of VBS

Child 3

First Name

Last Name

Age as of VBS

Child 4

First Name

Last Name

Age as of VBS

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Any allergies (food or otherwise), special needs or anything we may need to know to keep your child/children safe and have a great experience?

Additional People who have your permission to pick up your child/children from VBS?