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CAMANO LUTHERAN CHURCH YOUTH 2017 VBS REGISTRATION AND RELEASE FORM JULY 17th -- 21st CHILD ONE Youth s Last Name First Middle Grade in Fall 2016 circle one Campers Pre / 1st / 2nd / 3rd / 4th / 5th / 6th Youth Leaders 7th / 8th / 9th /10th / 11th /12th Birth Date / / Youth E-mail Address Age Sex M F Youth Cell Phone Allergies Physical Restrictions Current Medication s and Dose CHILD TWO / CUSTODIAL PARENT / GUARDIAN INFORMATION Last Name Home Phone Street Address Work / Cell Phone City State...
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Camano Luformran Church Youth is a youth group associated with the Camano Luformran Church.
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