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Register for Vacation Bible School!
July 15-19th (Mon. - Fri.) 9AM - 12PM
@Mohawk Community Church - 91190 Hill Road, Springfield, Oregon
Ages 4 (Potty-trained) to 13
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Parent Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
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Email
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Child #1
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Age
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5
6
7
8
9
10
11
12
Allergies?
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Child #2
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Age
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5
6
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8
9
10
11
12
Allergies?
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Child #3
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Age
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5
6
7
8
9
10
11
12
Allergies?
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Additional Children
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If additional Children - please put their information in the 'Comments' box
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Home
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