To Mars and Beyond VBS Registration
Hutto Discovery United Methodist Church
350 Ed Schmidt Blvd.
June 17-20
6:00PM - 8:15PM
Pre-K4 - 5th grade
Cost: $15/child (includes shirt)
Child's First Name *
Your answer
Child's Last Name *
Your answer
Date of Birth: *
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Grade Level for 2019-2020 school year: *
T-shirt Size *
Special Needs/Allergy information: *
Your answer
Parent/Guardian First Name: *
Your answer
Parent/Guardian Last Name: *
Your answer
Phone Number *
Your answer
Email: *
Your answer
Address: *
Your answer
Emergency Contact Name: *
Your answer
Emergency Contact Phone Number: *
Your answer
Relationship to Child: *
Your answer
Person Responsible for Picking Child Up from VBS: *
Your answer
Pick up person's phone number: *
Your answer
Relationship to Child: *
Your answer
I agree to allow my child to be photographed to be used for a church presentation. *
I would like to pay by: *
I have additional children to register *
Don't forget to bring $15/child cash or check on first day of VBS
checks can be made out to Hutto Discovery United Methodist Church
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