VBS Child Registration
Monday, July 15th - Thursday, July 18th
Dinner begins at 4:45 p.m.
VBS 5:45 - 7:45 p.m.

First United Methodist Church of Myrtle Beach (North Campus)
904 65th Ave N
Myrtle Beach, South Carolina

Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Nick Name
Your answer
Sex
Birthdate (Month/Day/Year) *
MM
/
DD
/
YYYY
Age on 7/15/19 or Most Recent Grade Completed
T-shirt Size *
Guardian's First & Last Name *
Your answer
Guardian's Cell Phone Number *
Your answer
Guardian's Email
Your answer
Alternate Guardian's First & Last Name *
Your answer
Alternate Guardian's Cell Phone Number *
Your answer
Home Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Names of Siblings
Your answer
Is a guardian of this child volunteering?
Would you be interested in volunteering?
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