VBS Registration Form
Galactic Starveyors - June 26-29, 2017 - UMC of Swartz Creek, 7400 Miller Road, SC, MI - 6:00-8:00 PM (Dinner at 5:30)
Child's Name
Your answer
Parent/Guardian Name
Your answer
Address
Your answer
Mailing Address (If Different)
Your answer
Phone Numbers
Your answer
Email Address
Your answer
Age Information
Your answer
Last Grade Completed
Your answer
Medical Information (including allergies)
Your answer
Emergency Contacts (Name and Numbers)
Your answer
Pick Up Info (who may pick child up)
Your answer
Church your child attends
Your answer
Permission to Photograph Child
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