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Colo United Methodist Church
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Student's Name (
Required
)
Last School Grade Completed (as of May 2025) (
Required
)
Pre-K or Yet to attend school
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
Age of Student (
Required
)
Parent/Guardian Name (
Required
)
Home Address (
Required
)
|
Email Address (
Required
)
Phone Number(s) (
Required
)
Allergies/Medical Information/Other Important Info
Emergency Contact #1 Name & Phone # (
Required
)
Emergency Contact #2 Name & Phone Number
Name(s) of person(s) other than Parent/Guardian listed above who may pick up this child from VBS
Solve 3 + 4 = ?
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