Vacation Bible School 2009 Power Lab "Paul and the Underground Church" July 20-24 9-Noon; For 3 year olds through rising 6th graders Child's Last Name * Child's First Name * Child's DOB *     mm/dd/yyyy Grade Entering in Fall * Grade Entering6th5th4th3rd2nd1stKPre-K3 yr old Child's First Name Child's DOB     mm/dd/yyyy Grade Entering in Fall Grade Entering6th5th4th3rd2nd1stKPre-K3yr old Child's First Name Child's DOB     mm/dd/yyyy Grade Entering in Fall Grade Entering6th5th4th3rd2nd1stKPre-K3yr old Street Address * City * State * Zip Code * Parent's Name * Phone Number * Email address Please list any allergies or special needs that your child might have. * = Input is required

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