West End UMC Vacation Bible School Registration
Thank you for registering your child for West End United Methodist Church Vacation Bible School. We are so excited! Please, fill out the following form so that we have all the information we need.
** If you are registering multiple children, please fill out a separate form for each. **

Important information:
-When? August 4-8, 2019, 5:45 to 8pm
-Where? West End United Methodist Church, 4015 NC Highway 73
-What? Dinner, crafts, and fun activities for five straight days!

If you have any questions, please call us at (910) 673-1371 or email us at weumc@earthlink.net

Name of Student *
Your answer
Name of Parent/Guardian *
Your answer
Email *
Your answer
Mailing Address *
Your answer
Home Phone #
Your answer
Cell Phone #
Your answer
Emergency Contact #1 (Name and Phone ) *
Your answer
Emergency Contact #2 (Name and Phone ) *
Your answer
Additional Person(s) Who May Pick Up Child from VBS
Your answer
What days will you attend? (5:45pm-8:00pm) *
Required
Dietary/ Medical Restrictions and Needs *
Anything else we should know?
Your answer
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