Seymour UMC VBS Registration
June 16th-20th 6:30pm - 8:30pm Family Dinner @5:30pm Doors Open @6:25pm
Child's Name *
Your answer
Birth Date: *
MM
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DD
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YYYY
Age: *
Your answer
Name of sibling attending VBS
Your answer
Parent's Names: *
Your answer
Address: *
Your answer
City: *
Your answer
Zip Code: *
Your answer
Home / Cell Numbers: *
Your answer
Allergies / Health Conditions:
Your answer
Grade just completed:
Your answer
T-Shirt Size: *
Does your child currently have a Bible?
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