Just Like Me VBC  - FREE!! 
June 24 - 28th 5:30 - 7:30 pm
Smoky Hill United Methodist Church  19491 E. Smoky Hill Rd. Centennial, 80015
Contact us at crystald@smokyhillumc.org  303-690-9816 ext. 216
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Parent/Guardian Name *
Parent/Guardian Cell Phone #  *
Parent/Guardian email:  *
Child's Name/Age/Grade for Fall of 2024 *
Child's Name/Age/Grade for Fall of 2024
Child's Name/Age/Grade for Fall of 2024
Child's Name/Age/Grade for Fall of 2024
Child's Name/Age/Grade for Fall of 2024
I would like my child grouped with. 
I am interested in Volunteering!
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Does your child/ren have any allergies :
please list the child's name and the allergy. What are the reactions? Does the child require an EpiPen?
*
Media Consent - We may take pictures or videos of the children and post them to our SHUMC website, Facebook or Instagram pages, or use them during worship on Facebook Live/YouTube. Do you consent to have your child/ren's picture shared?
*
Will you attend worship on June 30th at 10:00 am to Celebrate VBC.?
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Who is authorized to pick up the child/ren? Please also note if there is someone NOT authorized to pick up the child/ren.
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Sign and  Date *
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