HUMC VBS Registration 2019
Event Timing: July 22-26, 2019 6:00-8:45 PM
Ages: 4 year olds through rising 6th graders
Free Event (Shirts and Music available for purchase)
Event Address: Hollywood United Methodist Church
24422 Mervell Dean Road Hollywood, MD 20636
Questions, contact 301-373-2500 ext.1 or email office@hollywoodumcmd.org
LAST Name of Child *
Your answer
FIRST Name of Child *
Your answer
Age of Child *
Your answer
School Grade Completed (2018-2019 School Year)
Your answer
Parent/Guardian Name(s) *
Your answer
Parent/Guardian Email *
Your answer
Parent/Guardian Phone Number *
Your answer
Name of Emergency Contact Other Than Parent
Your answer
Phone Number of Emergency Contact
Your answer
Allergies or Medical Concerns
Your answer
Child Size T-Shirt $5.00 (Optional) Mail payment to church's address above. Checks payable to HUMC.
Adult Size T-Shirt $8.00 (Optional) Mail payment to church's address above. Checks payable to HUMC.
Music CD $8.00 (Optional) Mail payment to church's address above. Checks payable to HUMC.
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