Vacation Bible School

Vacation Bible School (VBS)

June 10-14, 2019, 9am-12pm

 

Ages 3 (potty trained) to entering 5th grade & the cost is FREE!

 

If you have any questions contact:

Shelley Canfield: (440) 812-1025, shelley.canfield@gmail.com

or Heidi Franz: (440) 622-7134, heidifranz1@gmail.com

 

 

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Child's Name
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Child's Gender
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Child's Age
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**ALL PRESCHOOLERS MUST BE POTTY TRAINED!**
Date of Birth
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Last School Grade Completed
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Name of Parent(s)
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Address
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Phone -- ext
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E-mail
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Release
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 By clicking "yes", you are authorizing release for pictures of child to be on ICC website/ newsletter.
Home Parish
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Allergies or Other Medical Conditions
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In Case of Emergency Contact:
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Emergence Phone --
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Pick Up
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 Who will be responsible for picking up child?
Pick Up Phone --
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Relationship to Child
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CREW LEADER: Grades 6 - High School
Help With
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Phone --
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E-mail
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