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VBS Signup Form
VBS 2023
Child's First & Last Name & Age
Child's First & Last Name & Age
Child's First & Last Name & Age
Child's First & Last Name & Age
Child's First & Last Name & Age
Child's First & Last Name & Age
Home Address
Address Line 1
Address Line 2
City
State
Zip Code
Home Church Name & City
My Children have my permission to attend on the following nights:
July 23rd
July 24th
July 25th
July 26th
In case of questions or an emergency, I can be reached at this phone number:
Parents First Name
Parents Last Name
Email Address:
Special instruction concerning transportation:
Special instructions concerning health issues:
Special instructions concerning other issues:
I heard about CBC's VBS from: (if applicable)
By typing my name in this box, I understand this is legally my signature:
Today's Date
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