FUMC Shipwrecked VBS 2018 Registration
Child's Name
Your answer
Child's Gender
Child's Age
Your answer
Child's Birthdate
Your answer
Fall of 2018 Grade Level
Dietary Concerns
Your answer
Allergies + Medical Conditions
Your answer
Any other info or behaviors?
Your answer
Name of Legal Parents or Guardians
Your answer
Address (street, city, zip)
Your answer
Telephone Numbers
Your answer
Home E-mail
Your answer
Home church / House of worship
Your answer
Volunteer opportunities may be available. May we contact you?
How did you hear about our VBS?
Emergency Contact Names
Your answer
Relation to Child
Your answer
Telephone Numbers
Your answer
Are You Interested in Active Parenting Class? (Same time as VBS)
Your answer
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