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Our Mission

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VBS Registration 2023

Child's First Name

Child's Last Name

Street Address

City

Region/State/Province

Postal / Zip Code

Birthday

Child's Age as of 9-1-22

Parent/Guardian Name

Cell Phone

Email

Emergency Contact Name

Emergency Contact Number

Allergies/Special Needs

Name of Person Who Can Pick Up My Child

Home Church

815-695-9926

2785 E. US 52

Sheridan, IL 60551

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