True North Vacation Bible School

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Name of Parent/ Gaurdian

First Name

Last Name

Phone

(###)

###

####

Email

Subject

Name of Child

First Name

Last Name

Date of Birth

MM

DD

YYYY

Known Food Allergies

Grade Completed

Permission to be Photographed

Yes

No

Name of Child # 2

First Name

Last Name

Date of Birth

MM

DD

YYYY

Known Food Allergies

Grade Completed

Permission to be Photographed

Yes

No

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