VBS 2025 Registration

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Child's Name

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Gender

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Male Female

Grade Completed/Age

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4 Years Old 5 Years Old Kindergarten 1st grade 2nd Grade 3rd grade 4th grade 5th grade

Address

Allergies/Medical Conditions

Parent/Guardian Name

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Relationship to child

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Phone

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Email

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How did you hear about us?

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I attend CSCC I was invited by a friend Social Media Flyer in the mail

Description

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