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Vacation Bible School 2008 Online Registration - Outrigger Island!

VBS June 23 - 27, 2008 5:30PM - 8:30PM Please complete the following information and select the Submit button when you have finished. You will be contacted to confirm this registration and to answer any questions you might have.
Registration Information:
Child's Name:
Child's Name:
Child's Name:
Date of Birth (preschoolers):
Last Grade Completed (children):
Parent/Guardian:
Address:
Email Address:
City:
Phone:
Do children go to Sunday School?	Yes No
If so, where?
Medical/Other Information:
Food Allergies
Food Allergies
Medical Details (Use this box to provide details of medical information):
Emergency Contact Name:
Emergency Contact Phone (home):
Emergency Contact Phone (office):
Emergency Contact Phone (cell):

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