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Breaker Rock Beach VBS at West Lisbon Church

We are so excited to have VBS at West Lisbon the week of June 3rd! VBS will be from 8:30-11 each day and is offered to kids ages 3 and potty-trained through those who have completed 5th grade. Come and join us for a fun week! Please fill out this registration form to help us prepare for a great week.
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Parent Name *
Phone Number *
Emergency Contact Name and Number *
My child has permission to be picked up  by the emergency contact *
Child's Name *
Child's Age- please indicate the grade they will be entering *
2nd Child's Name
2nd Child's Age- please indicate the grade they will be entering
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3rd Child's Name
3rd Child's Age- please indicate the grade they will be entering
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4th Child's Name
4th Child's Age- please indicate the grade they will be entering
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