St. John's UMC VBS 2019 Registration Form
Sunday, July 28 - Wednesday, July 31, 2019
5:45 p.m. to 8:15 p.m.

For all children 3 years old through entering 6th grade.

* Please fill a form out for each child you are registering. *

Email address *
First Name *
Your answer
Last Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Child's Age *
Child's most recently completed grade in school: *
Legal Guardian's First Name *
Your answer
Legal Guardian's Last Name *
Your answer
Emergency Phone Number *
Your answer
Who is authorized to pick-up this child? *
Your answer
Special Needs & Known Allergies: *
Your answer
I ______________ permission for photos to be taken of my child and used for promotional purposes at St. John's UMC. *
I would like to help with VBS
Submit
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