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St. Paul's Hillsdale: Vacation Bible School Registration Form
2551 W. Bacon Rd., Hillsdale MI 49242
June 22- June 25, 2015
9:30 a.m. – 11:30 a.m.
Preschool (Age 4) thru 8th grade
Closing Barbecue and Program: June 25, 5:30-7:30 p.m.
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Child #1 Name, Grade (fall 2015), & Age
*
Your answer
Child #2 Name, Grade, & Age
Your answer
Child #3 Name, Grade, & Age
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Additional Children Name (s), Grade, & Age
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Parents Full Names
*
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E-mail Address
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Phone # (in case of emergency)
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Food allergies or other medical problems
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Church Affiliation
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Parents Initials and Date of Registration Registration (in lieu of signature)
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