2010 Vacation Bible School - Bethel Christian Reformed Church

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2010 Vacation Bible School

Join us on a
High Seas Expedition!

Vacation Bible School for kids Kindergarten - Sixth grade.

July 26-29, 2010 5-8:00pm
Ending with a VBS Program on Thursday, July 29 at 7:30pm

Please fill out the following information to register for the "High Seas Expedition" Vacation Bible School:

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Child's Name:

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Grade completed:

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Street Address:

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City:

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State:

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Zip Code:

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Home Phone:

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Birthday (mm/dd/yy):

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Who brings you to practice?

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Mother's name:

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Mother's phone number:

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Mother's employer:

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Mother's work phone number:

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Father's name:

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Father's phone number:

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Father's employer:

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Father's work phone number:

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Medical Information (allergies, etc.):

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T-Shirt size:

	Youth Small			Youth Medium
	Youth Large			Adult Small
	Adult Medium			Adult Large
	Adult XL			Adult XXL

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Emergency contact (include phone number):

If you have questions while completing this form, please contact Aimee Van Holland at Bethel Church (712-722-3101). Church office hours are 9AM-12:30PM Tuesday through Friday and 1-3PM on Thursdays.

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