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VBS Registration

 

Rainforest Adventure!

July 21-25

5:00 - 7:30 pm

 

Songs for VBS!

 

Thank you for interest in VBS.  To register, please fill out the following form.

 

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Information about your child

 

 

First Name:     Last Name: 

 

Gender:         Birthdate:       Current age:

 

Grade level next school year:

 

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Information about Parent/Guardians

 

 

First Name (s):     Last Name:

 

Address:     City:    

 

State:     Zip:

 

Home Phone:     Work Phone:    

 

Cell Phone:     Email address:

 

Dismissal Names and relationship (parent, friend, etc):

 

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Emergency Contacts

 

 

Contact 1 Name:      Relationship:    

 

Home Phone:     Work Phone:     Cell Phone:

 

 

Contact 2 Name:      Relationship:    

 

Home Phone:     Work Phone:     Cell Phone:

 

 

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Other Information

 

 

  Allergies         Please describe:

 

  Medical Conditions:

 

 

  Are you a member of FUMC? 

 

  Church Home:

 

 

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