Vacation Bible School

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Child's First Name

Child's Last Name

Birthday

Grade Completed

Food Allergies? *

Yes

No

If Yes please explain, if not type N/A

Medical Concerns? *

Yes

No

If Yes please explain, if not type N/A

Any Additional Information Concerning your child?

THANK YOU

Thank you for giving us the opportunity to teach your child(ren) more

about God and the opportunity to have fun at the same time that they learn.

Evangelist Phyllis E. Roseboro, Superintendent

Christian Education Department

Elder George Zeigler, Director

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