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St. Mary s Episcopal Church 85 Conestoga Trail Sparta NJ 07871 www. stmaryssparta.org 973. 729. 3136 Vacation Bible School June 26-30 9 am to 12 pm Ages 4yrs-11yrs Registration June 26-30 2017 9 00AM-12 00PM Child s First Name Last Name Date of Birth Grade completed Gender Male Female Parent s/Guardian s First Name Address Email Home Phone Cell Emergency Contact Emergency Phone Special Needs/Allergies Person Responsible for pick up after VBS Phone Relationship Do you agree to allow photos of...
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