Maker Fun Factory Registration Form
2017 First United Methodist Church Vacation Bible School
Child's First and Last Name: *
Your answer
Child's Gender: *
Child's Age: *
Your answer
Date of Birth: *
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DD
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YYYY
Last School Grade Completed: *
Child's T-Shirt Size: *
First and Last Name(s) of Parent(s) *
Your answer
Street Address: *
Your answer
City: *
Your answer
State: *
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Zip Code: *
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Primary Phone Number: *
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Secondary Phone Number:
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Email: *
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First and Last Name of Emergency Contact, Other than Parent(s):
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Phone Number of Above Listed Emergency Contact
Your answer
Allergies or Other Medical Conditions:
Your answer
Publicity Permission: *
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