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Vacation Bible School

Egypt: Joseph's Journey from Prison to Palace:

1.
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Name

2.
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Grade Entering in the fall:

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Street Address

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City

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State

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Zip Code

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Home Telephone #

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Cell Phone #

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Home email address:

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Will parents be helping in other areas of Egypt?              Where?

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In case of Emergency, Contact:

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Allergies or other medical conditions:

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Home Church:

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Parents Names:

**A parental and / or guardian signature will be required on the first day of VBS.  This signature will indicate permission for Second Reformed Church to use my child's picture in VBS publicity, including the Internet. 

* Enter Your Email Address:

Type in the text that you see above:

  

Second Reformed Church
703 14th Ave.
Fulton, IL 61252
Phone: 815-589-3425
Fax: 815-589-4529
secretary@secondreformedchurch.net

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