Yee Haw 1-Day VBS Registration
August 3, 2019
Rising K-5th grade
8:30a-3p
Mount Tabor UMC
4520 Old Mocksville Rd.
Salisbury, NC 28144
Email address *
Child's Name *
Your answer
Child's Grade for 2019-2020 *
Parents/Guardians *
Your answer
Street Address *
Your answer
City *
Your answer
Zipcode *
Your answer
Parent/Guardian Phone *
Your answer
Church family regularly attends
Your answer
Child's Allergies and/or medical conditions
Your answer
Other authorized people who may pick up my child:
Your answer
As the parent/guardian of the above named child, I give my permission for them to participate in Mount Tabor UMC’s Vacation Bible School. I also give my permission for my child to be photographed and for those images to be used online for promotional purposes (no names will be included). In case of emergency, I agree for MTUMC to give first aid treatment and to call for emergency services as needed. *
Typing my name below acts as my signature: *
Your answer
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This form was created inside of Western NC Conference Clergy.