2016 Kingdom Chronicles VBS

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Monday-Friday, June 20 - June 24, 2016
9:00AM-12:30PM (lunch provided from 12:00-12:30)
Location: Grace Evangelical Free Church, 755 73rd Avenue N., Fridley, MN 55432
Ages: 3 years old (must be potty trained) through entering 6th grade (Fall 2016)
Cost:
BEFORE May 31: $15/child ($45 family maximum)
BEGINNING June 1: $25/child ($75 family maximum
Contact: Trisha Pull (tpull@gracefree.org) or 763-784-7199

Child's Last Name *

Child's First Name *

Birthdate *

YYYY

Grade Entering in Fall 2016 *

Allergies or Medical Conditions *

Tshirt Size *

Lunch will be provided at no additional cost from 12:00-12:30. Will your child stay for lunch? Children not staying for lunch need to be picked up at 12:00.

Yes

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Name of a friend whom your child would like to be included in their group, if possible:

Parent Name (First & Last) *

Parent Phone Number *

Parent Email *

Emergency Contact #1 Name: *

Emergency Contact #1 Phone Number *

Emergency Contact #2 Name: *

Emergency Contact #2 Phone Number: *

Do you have more children to register?

Yes

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