2019 Monee Community VBS Family Registration Form
Please fill out this Family Registration Form if your child(ren) plan to attend our Monee Community VBS: In the Wild!
This year our Community VBS will be at St. Paul's UCC; June 24-27 2019 (Monday-Thursday) (6-8:30pm)
Parent and Pick-Up Information
Parent or Guardian #1
Name *
Your answer
Daytime Phone *
Your answer
May we text message you? *
E-mail *
Your answer
Address *
Your answer
Church, if any
Your answer
Relationship to child(ren) *
Your answer
Parent or Guardian #2
Name
Your answer
Daytime Phone
Your answer
May we text message you?
E-mail
Your answer
Address, if different from Parent/Guardian #1
Your answer
Church, if any
Your answer
Relationship to child
Your answer
Authorized Pick-Up and Emergency Contacts
Others authorized to drop off or pick up the child(ren) and/or emergency contacts
Please include persons name, relationship to child, and phone number
Your answer
Are there any persons NOT authorized to pick up your child(ren)
Your answer
Please indicate the following permissions below. *
Required
Any further details or instructions regarding pick-up?
Your answer
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