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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:
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.