VBS 2022 Registration
Register for Zoomerang VBS at Berlin Center UMC
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Child's Name *
Age (at time of VBS) *
Grade Completed *
School Attending
Address *
Allergies or Other Medical Conditions
Parent/Guardian Name *
Parent/Guardian Email *
Parent/Guardian Phone Number *
Emergency Contact Name *
Emergency Contact Phone Number *
Photo Release - I give Berlin Center UMC permission to photograph my child and use said photographs for the purpose of any print, online, or social media presentations *
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