2024 FUMC, TLC & UCC VBS Registration
Memorial Park, Yankton SD        
Thursday, August 8th 5:30-8:30pm
Friday, August 9th 5:30-8:30pm
Saturday, August 10th 8:30-11:30am
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Child's First Name *
Child's Last Name *
Our home church is...... *
Age (as of Aug 8, 2024) *
Birthdate (be sure to change year) *
MM
/
DD
/
YYYY
Grade (coming out of) *
Primary Contact Name *
Primary Contact's Cell Phone Number *
Primary Contact's Email Address *
Is Primary Contact willing to help/volunteer? *
Required
2nd Contact Name *
2nd Contact's Cell Phone Number *
Is 2nd Contact willing to help/volunteer? *
Required
Family Street Address *
City *
State *
Zip *
Allergies *
Siblings and (Grade, going into/Age) *
Any additional Information we should be aware of?
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