Flash: ON   September 8, 2010 
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Registration form for VBS

   Parent or Guardian:    
   Address:    
   Home Phone:    
   Cell Phone:    
   email address:    
   Church affiliation    
   Emergency contact:    
   ICE Phone number:    
   Name(s) of child(ren):    
   Grade(s) in the fall:    
   Age(s):    
   Permission Statement: I hereby consent to have my child(ren) participate in Vacation Bible School. I understand that SouthCross Community Church will assume no liability for participants in the program. If there is an accident or injury during the week, the staff has my permission to seek immediate medical help. Parent or Guardian name:
   
   Any medical problems or diet restrictions that the staff should be aware of:
   
   Where did you hear about VBS at SouthCross?
   


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