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Trinity Lutheran Church
Vacation Bible School 2021
July 12 - August 1, 2021 | 10AM - 3PM
Ages 4 years old through Grade 8
Student's Name / Age / Birth Date / Grade
Home Address (Include City, State, Zip Code / Home and Cell Number
Parent/Guardian’s Name and Email ID
Emergency Contact Name and Number
Doctor Name & Number / Any Allergies / Insurance - Policy & Group Number
Name of person who is authorized to pick your child and their relationship
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