Oak Heights Vacation Bible School 2017
Event Timing: June 11-15, 2017 6p.m.-8:30p.m.
Event Address: 1398 South Grade Road, Hutchinson
Contact us at (320)587-8483 or amy.dufrene@oakheights.org
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Email *
Name of student *
Child's Age (as of June 11) *
Date of Birth *
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Last School Grade Completed *
Name of parent(s)/caregiver *
Street Address *
City and Zip Code *
Home Phone
Cell Phone *
In case of emergency, contact-Name *
Emergency Contact-phone number *
Emergency Contact- relationship to student *
Person (other than emergency contact or parent(s) listed) who may be picking your child up? *
Dietary restrictions, allergies, things we should be aware of *
I allow my child's picture to be used in promoting VBS at OHCC in publications, such as the newsletter, annual reports, brochures, etc. *
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