Portage First UMC VBS Registration 2018
Sunday, July 15 through Thursday, July 19 - 6:00PM - 8:00PM
Child's Name *
Your answer
Gender
Grade level for the 2018-2019 School Year *
Important Allergy or Medical Information
Your answer
Home Church
Your answer
Address
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Phone Number *
Your answer
Emergency Contact Information *
Your answer
Persons other than yourself authorized to pick up your child
Your answer
Submit
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