VBS 2019 Registration
St. John UCC & St. Clair UMC VBS. July 14th - 19th 2019. Dinner @ 5:30, VBS 6-8 PM.
Child's First Name *
Your answer
Child's Last Name *
Your answer
Grade in Fall *
Age
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Phone Number
Your answer
Email Address
Your answer
Address *
Your answer
Name(s) Of Friends Attending VBS/Who Referred You?
Your answer
T-Shirt Size *
Does Child Regularly Attend Church *
If Yes, Where
Your answer
Please List The Name(s) Of The Child's Guardian(s):
First Name *
Your answer
Last Name *
Your answer
Contact Info Same As Above? *
Your answer
If No, Please Complete The Following:
Phone:
Your answer
Email Address:
Your answer
Address:
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Who Should We Contact In Case Of Emergency?:
First Name: *
Your answer
Last Name:
Your answer
Relationship To Child: *
Your answer
Phone Number: *
Your answer
Mode Of Transportation For VBS (check as many as apply) *
Required
Is There Anything Else we Should Know?
Your answer
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