VBS ILLUMINATION STATION
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Child
First Name
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Child
Last Name
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Child
Email
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Child
Mobile Phone
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Child
Address 2 (Apt/Suite # etc.)
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Child
Birth Date
* Grade going into
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Pre-K
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th (Jr. Helper)
* What school does Child attend
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Child
Allergy/child notes
* People who may pick up your child
*
Child
Emergency Contact
* T Shirt size
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Youth X-Small (4)
Youth Small (6 - 8)
Youth Medium (10 -12)
Youth Large (12 - 14)
Youth X-Large (16)
Adult Small
Adult Medium
Adult Large
Adult XL
* I give permission for my child to be photographed for church purposes
Select one
YES - my child may be photographed
NO - my child may not be photographed
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