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Heritage
Lutheran Church |
Heritage Lutheran Church Heritage Lutheran Church—Vacation Bible School June 21-25, 2010 9:00—11:00 AM For information, call 464-2810 or email heritagelc@verizon.net Registration Form Children’s Names: ________________________________________ Age____ Grade_______
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________________________________________ Age____ Grade_______ Parent’s Names _________________________________________________________________ Address _________________________________________________________________ Home Phone___________________ Emergency phone________________ Food Allergies Yes No List Allergies_____________________________ Medical Concerns Yes No Explain________________________________ Church Membership at ____________________________________________________________________ Guest of ____________________________________________________________________ ________________________________________ Age____ Grade_______ |
