VBS Children Registration 2019
Brooklet UMC's VBS is Sunday, June 9th - Thursday, June 13th from 5:30-8:00. Register your rising Pre-K through 6th grader here. We are going to have a ROARING good time!!
Email address *
Child's First Name *
Your answer
Child's Last Name *
Your answer
Gender *
Date of Birth (Month/Date/Year) *
Your answer
Grade Entering *
Parent/Guardian Name (First and Last) *
Your answer
Home Address *
Your answer
Phone # *
Your answer
Emergency Contact Name (if different from above)
Your answer
Emergency Contact Phone # (if different from above)
Your answer
Does your child have any allergies? *
If you answered yes to allergies, please explain.
Your answer
Would you like a VBS t-shirt for $10? *
Do you have other children attending VBS? If yes, please provide their name(s) and age(s). Make sure to register them separately.
Your answer
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