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.
Your answer
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
Your answer
Emergency Contact Telephone
Numbers only - no parentheses or dashes
Your answer
Additional Notes or Comments
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This form was created inside of Southern Hills United Methodist Church. Report Abuse - Terms of Service - Additional Terms