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Ellsworth VBS - Children Registration !!! VBS HAS BEEN MOVED TO THE HIGH SCHOOL DUE TO CONSTRUCTION AT EES!!!
!!!!! LOCATION CHANGE: VBS HAS BEEN CHANGED TO THE HIGH SCHOOL DUE TO CONSTRUCTION AT EES !!!!!

Event Timing: June 3rd-7th, 2019 8:45 AM TO 12:00 PM
Location: Ellsworth High School
contact us at ellsworthvbs@gmail.com

YOU MUST FILL OUT A NEW FORM FOR EACH CHILD YOU ARE REGISTERING!!!

All Children Entering Kindergarten (Aug. 2019) through those who are completing the 4th grade (May 2019) are invited to enroll and attend.
If you are purchasing items, please take the money to ELLSWORTH METHODIST CHURCH OFFICE, 402 N. Douglas (Tuesday - Friday 8:00 am - 1:00 pm ) by the ORDER DEADLINE DATE. Please make checks payable to FPC (First Presbyterian Church).
Child's Name *
Your answer
Child's Age as of 08/31/19 or Grade Completing. *
Mother's Name *
Your answer
Father's Name
Your answer
Street Address *
Your answer
City *
Your answer
Primary Contact Number *
Your answer
Secondary Contact Number
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Relationship to Child *
Your answer
Emergency Contact Phone Number *
Your answer
Food Allergies *
If yes please list allergies below
Your answer
Medical/Behavorial Concerns (VBS volunteers may not be trained to handle some medical/behavorial concerns). *
Your answer
2019 VBS t-shirt please indicate size. DEADLINE HAS PASSED.
I would like a CD - $5.00. DEADLINE HAS PASSED.
I would like a DVD - $15.00. DEADLINE HAS PASSED.
I hereby grant the VBS leaders permission to photograph/video the minor designated about in any manner or form for any lawful purpose associated with the VBS program *
I have read and agree to the discipline policy for VBS. *
Required
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