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The Incredible Race VBS 2019
July 15 -19 9am - 12pm
Child's Name
Gender - Birthdate - Grade completed
Address - City - State - Zip
Parents - also list phone #'s
Emergency Contact - relation to child and phone number
Who may pick up your child?
Please add any Food Allergies and Medical Concerns
Central may use photography and video of your child for website etc.
*
Required
YES
NO
Register for VBS
Registration Complete!
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