Clay Center United Church of Christ
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Ethan Feistner
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Sign My Child(ren) up for VBS
Parent/Gardian:
Address:
Email Address:
In case of
emergency contact::
Which on-line platforms do you prefer for communication:
Facebook
Instagram
Messenger
Twitter
Other, please list:
I give my child (ren) permission to ride with a responsible adult to the campsite.
Yes
No
My child (ren) will need a ride in the morning to the Deweese Community Center.
Yes
No
My child (ren) will need a ride from Deweese Community Center to Home after VBS.
Yes
No
Please sign the following children up for VBS.
Name
Age
Grade Just
Completed
Allergic to the following