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VBS Registration
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First Name
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Last Name
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Email
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Phone Number
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Child's First Name, Last Name, Age
Allergies or anything else we should be aware of?
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Emergency Contact, Phone Number, Relationship to child
SUBMIT
VBS Survivor
Jul 26, 8:45 a.m. – Jul 29, 11:45 a.m.
Wiesenthal Baptist Church
