St. Andrew UMC Rocky Railway
Please fill out 1 per child to register for Vacation Bible School!
Child's Name
Child's Gender
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Child's Age
Date of Birth
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Last School Grade Completed
Name of Parents(s)
Street Address
City
ZIP
Home telephone
Parent/caregiver's cellphone
Home email address
Home church
Allergies, medical conditions, or special needs
In case of emergency, contact:
Phone
Relationship to child
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