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:
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Date of Birth:
MM
/
DD
/
YYYY
Last School Grade Completed:
Child's T-Shirt Size:
First and Last Name(s) of Parent(s)
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Street Address:
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City:
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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:
Your answer
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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