Mt Olive Baptist Church Crossett AR
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VACATION BIBLE SCHOOL REGISTRATION 2016
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CHILD INFORMATION
PARENT INFORMATION
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Child's Name
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Address
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Date of Birth
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School Grade Completed
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Christian?
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Church Name
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Relevant Medical/Allergy Information
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Emergency Contact Number
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Mother's Name
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Phone
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Address
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Email Address
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Christian?
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Church Name
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Father's Name
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Phone
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Address
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Email Address
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Christian?
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Church Name
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ACKNOWLEDGMENT
I understand that as a participant in vbs, I or my child may be photographed or videotaped during normal event activities, and these photos/videos may be used for promotional purposes.
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