Vacation Bible School 2019 Registration Form
Lawrence United Methodist Church June 24-28, 2019 6:00 to 8:30 p.m.
Children ages 2 years old thru 6th grade welcome! There is no cost to attend.
Questions? Contact Pam Bloss at blossp23@gmail.com or Terry Fowler at 56fowlerterry@gmail.com
Email address *
Parent/Guardian First Name *
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Parent/Guardian Last Name *
Your answer
Address *
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City *
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Zip Code *
Your answer
Contact Phone Number (During VBS Hours) *
Your answer
Child 1 - Name, Birthdate, School Grade and Known Allergies /Medical Conditions *
Your answer
Child 2 - Name, Birthdate, School Grade and Known Allergies /Medical Conditions
Your answer
Child 3 - Name, Birthdate, School Grade and Known Allergies /Medical Conditions
Your answer
Child 4 - Name, Birthdate, School Grade and Known Allergies /Medical Conditions
Your answer
Child 5 - Name, Birthdate, School Grade and Known Allergies /Medical Conditions
Your answer
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