Pleasant Green UMC VBS 2021 - "Knights of North Castle"
Visit our Church VBS Website (courtesy of Cokesbury) at https://2020.cokesburyvbs.com/ncpgumc
Email *
Child's LAST name *
Child's FIRST name *
Child's Age (as of June 21, 2021) *
Child's Birthdate *
MM
/
DD
/
YYYY
Child's grade NEXT fall (Fall 2021) *
Child's t-shirt size *
Parent/Guardian's LAST name *
Parent/Guardian's FIRST name *
Parent/Guardian's phone number *
Parent/Guardian's mailing address *
Include CITY and ZIP CODE
Emergency contact name *
Emergency contact phone number *
Please list all allergies or special needs for your child. *
Person responsible for pick up after VBS & that person's phone number *
Is there anything special we need to know about your child?
Is it ok to use your child's photo on PGUMC's website & Facebook page? *
Submit
Never submit passwords through Google Forms.
This form was created inside of Durham Public Schools. Report Abuse