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YOUR CART
VBS Pre-Registration Form
*
Indicates required field
Do you have more than 1 child you are bringing?
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Yes
No
If yes, please register each child seperately. That allows us to prepare for each of your children individually.
Total Number of people coming for Dinner @ 6pm
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Email
*
Phone
*
Emergency #
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Name
*
First
Last
Any Allergies?
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Food
Envirionment (Bees, Latex, etc.)
Select One
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Age 5-K
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Address
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Line 1
Line 2
City
State
Zip Code
Country
If Yes to above, please tell us what it is.
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Submit