VBS K-5 Form | Pptl

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VBS Kindergarten to Grade 5 Registration Form

Child's Name

Gender

Child's Age

Birthday

Current School Grade

Name of Parent(s)

Home Phone

Parent/Caregiver's Cell Phone

Parent Email

Street Address

City

Province

Postal Code

Emergency Contact Information

MCP #

MCP Expiration Date

In case of an emergency, contact

Emergency Phone

Relationship to Child

Thanks for registering. See you there!

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Cultivate Students

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