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VBS Registration Form

Mandatory *

Child's Name *

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Child's Age *

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Street address *

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City *

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Zip Code *

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Phone number *

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E Mail address *

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Parent/Guadain Name *

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What grade is your child entering? * What grade is your child going into next year?

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Would you like a T-Shirt for your child for $8.00 *

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If you want a T-Shirt what size?

Needs/Allergies Needs of child or allergy's we should know about

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