Park Memorial UMC 2022 VBS Registration
PMUMC 2022 VBS July 18th - 22nd, 5:30 pm - 7:45 pm

Please submit this form separately for each child you are registering.
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First Name (Child) *
Last Name *
Birthday *
MM
/
DD
/
YYYY
Age *
Address *
Parent's Name (first and last) *
Phone Number *
Parent's Name (first and last)
Phone Number
Relevant Allergy/Medical Information
Submit
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