First UMC Salem, VA VBS Registration
Vacation Bible School, July 25-29 - ages 4 through 5th grade
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Email *
Child's Name *
Parent/Guardian Name *
Address
Parent/Guardian cell phone *
Emergency contact name and cell number *
Parent/Guardian email *
School and grade completed *
Child's date of birth *
MM
/
DD
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Family's home church
3 Friends child would like to be with
Allergies or other medical concern
A copy of your responses will be emailed to the address you provided.
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