VBS 2024 | Fox River Lutheran

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Child's First Name

Child's Last Name

Street Address

City

State

Zip Code

Child's Age as of 9-1-24

Child's Grade as of 9-1-24

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

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Online registration is closed. You will be able to register in person on July 29, 2024. Thank you.

Contact Fox River

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815-695-9926

secretary@foxriverlutheran.org

www.foxriverlutheran.org

2785 E. US 52

Sheridan, IL 60551

©2019 Fox River Lutheran Church

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