2018 Trinity VBS: Online Registration
[SHIPWRECKED: Rescued by Jesus]
When? August 20-23 (Mon-Thurs) 5pm to7:30pm
Where? @ Trinity United Methodist Church, 137 Main Street, Montpelier, VT 05602
Who? Children ages 4-12
Cost: FREE!!!
Email address *
Child's name *
Your answer
Child's gender *
Child's age *
Your answer
Child's Date of birth *
MM
/
DD
/
YYYY
Last school grade completed
Your answer
Name of parent(s) *
Your answer
Street address *
Your answer
City: *
Your answer
State: *
Your answer
ZIP: *
Your answer
Home telephone
Your answer
Parent/caregiver's cellphone: *
Your answer
Home email address: *
Your answer
Home church:
Your answer
Allergies or other medical conditions: *
Your answer
In case of emergency, contact (name): *
Your answer
Phone: *
Your answer
Relationship to child: *
Your answer
A copy of your responses will be emailed to the address you provided.
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