VBS Registration 2019
Email address *
Child's Name
Your answer
Child's Age *
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Last school grade completed
Your answer
Name of parent(s)
Your answer
Home Address
Your answer
Primary Contact Number and Email
Your answer
Home Church
Your answer
Allergies or other medical conditions
Your answer
Emergency Contact Name and Number
Your answer
Who has permission to pick up your child from VBS?
Your answer
Do you give permission for your child's picture to be used on MUMC Social Media pages?
Child's T-shirt Size
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