Blessings Bakery Registration Form
Vacation Bible School
Tuesday, June 11th - Thursday, June 13th
9:00am-11:30am
Cullowhee United Methodist Church
416 Central Drive, Cullowhee
Name of Child *
Your answer
Grade Completed *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender of Child *
Please list any allergies *
Your answer
Please list any medical concerns *
Your answer
Name of Parent/Guardian *
Your answer
Email Address of Parent/Guardian *
Your answer
Phone Number of Parent/Guardian *
Your answer
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