VBS Registration Form 2019
Email address *
Pre-K thru 6th Grade
June 10-14, 2019 | 8:30 - 1:30
Bonaire UMC | 221 Church Street, Bonaire GA, 31005 | 478-923-7317
Child's First & Last Name *
Your answer
Parent/Guardian First & Last Name *
Your answer
Address *
Your answer
Best Contact Number *
Your answer
Email Address *
Your answer
Child's Age *
Your answer
Child's Birthday *
MM
/
DD
/
YYYY
Grade Completing 2018-2019 School Year *
Child's Medical Information - A VBS representative will reach out to you to find out more information for responses besides "None". *
Required
Emergency Contact Name & Phone Number - Please list someone other than the parent/guardian listed.
Your answer
Dismissal Information *
Required
Does your family attend a local church? *
Would you like to purchase a VBS t-shirt? ($10 each)
Photograph Permission *
Required
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