VBS Registration
July 10-13, 2017
9:00-12:00 Noon
Entering 4K - 5th grade
Child's Name:
Your answer
Sex:
Your answer
Grade Entering:
Your answer
Parent's Name:
Your answer
Address:
Your answer
Email Address:
Your answer
Phone:
Your answer
Birth Date:
MM
/
DD
/
YYYY
Allergies:
Your answer
Church you attend:
Your answer
Emergency name and number:
Your answer
Name of a special friend your child would like to be with:
Your answer
Pictures from VBS may be placed on our website at www.helenaumc.org or used in our brochures. No children will be named in the picture.
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