VBS Registration

Wilderness Escape VBS 2021

Vacation Bible School

June 28th Through July 2nd, 202

6-8 PM

at Mt. Carmel Friends Church: 3470 Kennard Kingscreek Rd. Cable, OH 43009

 

Personal Information
Child's Name
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Age
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Last Grade Completed (by July)
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Second Child's Name
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Second Child's Age
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Second Child's Last Grade Completed
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Third Child's Name
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Third Child's Age
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Third Child's Last Grade Completed
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Tribe Assignment:
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Address
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Parent's Name
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Parent's Cell Phone --
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Parent's E-mail
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Parent's Name
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Parent's Cell Phone --
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Emergency Health Information
Please list any allergies (food, medications, etc.), and indicate which child:
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Any Activity Restrictions:
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Emergency Contact Outside Your Household:
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Phone of Emergency Contact: --
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