Hydewood Park Baptist Church
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A Church where Everyone is Someone
V.B.S. Registration Form
August 4 - 8, 2009
For children
entering
Kindergarten to 6
th
grade in Fall 2009
Child's Name
Parent/Guardian Name
Address Line 1
Address Line 2
City
State
Zip Code
Daytime Phone
(
)
-
Cell Phone
(
)
-
E-mail Address
Child's Birth Date
Grade Entering in September
Medical/Other Info We Need to Know
Emergency Contact
Emergency Contact Number
(
)
-
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