HERO CENTRAL ~ Child Registration
Calling All Superheroes!
Join Us for Hero Central VBS June 25th-29th

First United Methodist Church of Myrtle Beach @ North Campus
904 65th Ave N
Myrtle Beach, South Carolina

Dinner begins at 4:45 p.m.
VBS 5:45 - 7:45 p.m.

First Name
Your answer
Last Name
Your answer
Nick Name
Your answer
Sex
Birth date (Month/Day/Year)
MM
/
DD
/
YYYY
Preschool Age
Grade Completed In School
T-shirt Size
Mother's Name (First & Last Name)
Your answer
Mother's Cell Number
Your answer
Mother's Email
Your answer
Father's Name (First & Last Name)
Your answer
Father's Cell Number
Your answer
Father's Email
Your answer
Phone Number (Home):
Your answer
Address:
Your answer
City:
Your answer
State:
Your answer
Zip Code:
Your answer
Siblings (Name & Age)
Your answer
Is the parent/family member of this child volunteering?
Would you be interested in volunteering?
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