Benson Memorial United Methodist Church Vacation Bible School 2018
JUNE 25-29, 2018 9.00a-12.00p
GENERAL REGISTRATION FORM (ONE PER CHILD PLEASE)
Age 3 (Must be potty-trained) - Grade 5. Nursery available for children of volunteers only.
***Only those registered by June 1 will be guaranteed a spot and guaranteed to receive all of the take-home materials, including the CD***
VBS Director, Susan Myrick - susanmyrick@bellsouth.net. Children's Minister, Cortney Babajtis - cortneypaige84@gmail.com
Email address *
Child's Name *
Your answer
Gender *
Check Grade Level this Fall *
Name of Guardian(s) *
Your answer
Address *
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Home Phone Number *
Your answer
Cell Phone Number *
Your answer
Email Address *
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Allergies/Medical Conditions *
Your answer
Home Church
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Emergency Contact Person *
Your answer
Relationship *
Your answer
Emergency Contact Phone Number(s) *
Your answer
Would your child like to be in a crew with a certain friend of the same age? Please give the name of the friend below and we will make every effort to accommodate. However, we cannot guarantee anything, so please do not make promises to your child(ren). Thank you!
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A copy of your responses will be emailed to the address you provided.
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