West Union & Wellman Mennonite 2021 Bible School Registration
West Union and Wellman Mennonite are joining together for Bible School this summer. We would love to have your child attend. Please fill out the following form to register your child(ren).

Monday, June 7- Wednesday, June 9 at West Union Mennonite Church, 3253 305th St, Parnell, IA.
8:30 a.m. - 2:00 p.m.
Age 4 - 8th Grade

Masks are highly recommended. The registration deadline is Monday, May 24.

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Parent First & Last Names *
Parent Email Address *
Primary Phone Number *
Mailing Address *
Name and Phone Number of Emergency Contact (other than parent) *
Child 1
Name *
Current Grade *
Birthdate *
MM
/
DD
/
YYYY
Medical Conditions/Dietary Restrictions/Allergies
Child 2
Name
Current Grade
Birthdate
MM
/
DD
/
YYYY
Medical Conditions/Dietary Restrictions/Allergies
Child 3
Name
Current Grade
Birthdate
MM
/
DD
/
YYYY
Medical Conditions/Dietary Restrictions/Allergies
Child 4
Name
Current Grade
Birthdate
MM
/
DD
/
YYYY
Medical Conditions/Dietary Restrictions/Allergies
Waiver of Responsibility *
Required
Press Waiver *
Required
Parent/Caregiver Digital Signature *
Submit
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