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Vacation Bible School 2023 Pre-Registration Form

* Indicates required field

Parent/Guardian's Name *

First

Last

Phone Number *

Email *

Emergency Contact *

First

Last

Emergency Contact Phone Number *

Child's Name *

First

Last

Grade Completed *

Allergies *

If yes, please specify. *

Do you give permission to Clemmons First Baptist to take pictures of your child and post them on our social media? *

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