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St. Paul s U. C. C. V. B. S. Registration Form Please PRINT one for each Participant June 19-23 2017 5 45pm for Dinner 6 30pm for VBS Program Participant s s Name Last Grade Completed Adults Please provide what decade if you don t want to include age age date or grade. Name of parent s /guardian s guardian s if under 18 years of age Address City State Zip Home Phone Home Email Home Church How many will be coming for dinner Emergency Contact Name Relationship to Participant Allergies or other...

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