101 N Broad St. Shannon, IL 815-864-2779

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VBS Registration

REGISTER FOR VBS

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Vacation Bible School

Registration Form

Please Submit One Per Child

Child Name- Please submit separate registration for each child *

First

Last

Gender *

Grade Entering This Fall *

Please List Any Allergies

Other Things We Should Know About Your Child

Parent Name *

First

Last

Address *

Parent Phone Number *

Email *

Transportation

I will drop off my child
My child will ride the Lanark bus

Message

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