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Vacation Bible School- Operation Space: July 25-30, 2010, 6:15 to 8:45 nightly

First Baptist  Church Mason


Child's Full Name
Child's Age
Child's Shirt Size
Parent or Guardian's Name
School Name
Grade Just Completed
Street Address
City, State
Mailing Address
City, State
Home Phone Number
Emergency Contact Name
Emergency Contact Phone Number
Email Address (Optional)
Name of home church
Do you need picked up for VBS?

House Description if you need picked up.
List any known food allergies