Flash: ON   May 22, 2013 
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2013 Bible School Registration

Name*
Birthdate*
Address*
City*
State*
Home phone*
Parent or guardian*
Cell phone
Email*
Work phone
Emergency contact name*
Emergency contact phone*
Allergies or other medical conditions
School grade just completed*
Home church, if any
Please list any restrictions regarding who has permission to transport your child to/from VBS
Please indicate student's t-shirt size*
 Youth XS
 Youth S
 Youth M
 Youth L
 Adult S
 Adult M
 Adult L
 Adult XL


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