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Carson City First United Methodist Church 2023 VBS Registration
Food Truck Party! "On a Rolle wih God!"
children entering Kindergarten through 5th grade. Please fill out one form for each child
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Child's Name
Your answer
Birth date
MM
/
DD
/
YYYY
Grade in Fall 2023
K
1st
2nd
3rd
4th
5th
PreK VBS staff childcare (VBS staff only)
Clear selection
Parent(s) Name
Your answer
Street Address
Your answer
City
Your answer
Zip Code
Your answer
Emergency Contact Name
Your answer
Emergency Contact Phone
Your answer
Siblings Attending VBS (with grade)
Your answer
Number of people in the household (for a craft)
Your answer
Allergies (food, animals, etc.)
Your answer
Music: Do you wish to purchase a CD of the music they learn?
Yes
No
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If there is a special friend (same age), you may request the same class placement?
Your answer
Check here if you DO NOT want your child in VBS photos. Photos maybe used in church publications and social media visible to the public.
Please do not use photos of my child in publications or on social media
Parent/Relative on VBS Staff?
(SPECIAL NOTE: VBS staff needing childcare during VBS, please complete a form for each child)
Yes
Person(s) authorized to pick up child(ren)
Your answer
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