Camp Kaboom! VBS Registration -Southern Hills UMC and The Source
Please fill in the form below to register for 2017 VBS: June 21-23, 2017
Parent First and Last Name *
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Address *
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City *
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Zip Code *
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Telephone *
Numbers only - no parentheses or dashes
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E-mail Address *
Your e-mail will only be used for VBS communications and will not be shared.
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Child First and Last Name *
Your answer
Grade Child Completed as of May 2017 *
Allergies or Special Needs
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Emergency Contact Name *
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Emergency Contact Telephone *
Numbers only - no parentheses or dashes
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Additional Notes or Comments
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