VBS - Athens - Registration Form
July 14th-19th at Triplett UMC - 5:45pm-8:15pm Children ages 4-5th grade - Supper served nightly. Online registration ends July 12. Registration will continue at the church after this date.
Child's last name *
Your answer
Child's first name *
Your answer
Date of birth *
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DD
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YYYY
Child's age *
Your answer
T shirt size - (youth sizes) *
Last school grade completed *
Your answer
Child's gender *
Name of parent(s)/guardian(s) *
Your answer
Street address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Parent/Guardian's home phone/cellphone number - Enter the number at which one can most likely be contacted. You may enter both. *
Your answer
Email address
Your answer
Home church
Your answer
Is there a friend with which your child would liked to be placed? If so, enter the friend's first and last name here.
Your answer
Allergies or other medical conditions - Enter NA if this does not apply. *
Your answer
Emergency contact name *
Your answer
Emergency contact telephone number *
Your answer
Emergency contact relationship to child *
Your answer
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