Van UMC 2018 Vacation Bible School
Mon, June 11 - Thurs, June 14 9am - Noon
Ages: 3 years - Going Into 5th Grade
Van United Methodist Church 326 W Main St Van TX 75790
903.963.5563 vanumc.org
To register for June 25-27 Special Needs VBS: https://docs.google.com/forms/d/e/1FAIpQLSdiTH1Xsk9DkU-yrB7RVogzx7-82MamPbzZjfIBc1gc0wrMZA/viewform
Van UMC 2018 VBS
ONLINE REGISTRATION WILL CLOSE FRIDAY, JUNE 8, 2018 at Midnight
Registration At the Door Will Be Possible All Four Days of Vacation Bible School
Child's Last Name *
Your answer
Child's First Name *
Your answer
Child's Sex M/F *
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Grade Fall 2018 *
Mother's Last Name *
Your answer
Mother's First Name *
Your answer
Mother's Daytime Phone *
Your answer
Mother's Cell Phone *
Your answer
Mother's Email
Your answer
Father's Last Name *
Your answer
Father's First Name *
Your answer
Father's Daytime Phone *
Your answer
Father's Cell Phone *
Your answer
Father's Email
Your answer
Family's Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
First & Last Name of Person Picking Up Child *
Your answer
Pick Up Person's Cell/Daytime Number *
Your answer
First & Last Name of Alternate Pick Up Person *
Your answer
Alternate Pick Up Person's Cell/Daytime Number *
Your answer
In Case of Emergency, We Will Attempt to Contact Parents First. Alternate Emergency Contact's Name *
Your answer
Alternate Emergency Contact's Cell/Daytime Number *
Your answer
Child's Food Allergies (List)
Your answer
Food Allergy Treatment (Explain)
Your answer
Drug Allergies (List)
Your answer
Other Notes About or Needs of Child
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms