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V B S 2010  

Register here today for the all - day, July 10th, 2010 Vacation Bible School at Jericho Friends Meeting.  More details.

Child's Name: Child 1

Child 1's Age:           Child 1's completed grade level: 

Child 1's Allergies or Special Instructions:

Child 1's T-shirt size:

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Child's Name: Child 2

Child 2's Age:           Child 2's completed grade level: 

Child 2's Allergies or Special Instructions:

Child 2's T-shirt size:

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Child's Name: Child 3

Child 3's Age:           Child 3's completed grade level: 

Child 3's Allergies or Special Instructions:

Child 3's T-shirt size:

Parent or Guardian's Name: 

Address: 

Phone Number:   Emergency Phone Number: Who does this emergency phone number belong to?

I will be dropping off my child(ren) Yes  No,

I will be picking up my child(ren)  Yes   No,

E-mail address:   We will confirm your registration or ask questions via e-mail with-in 24 hours.  

Please invite your children's friends to register also thanks.