To Mars and Beyond VBS Registration
June 24-27; 5:30-8:15 pm  Snack dinner served at 5:30
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Email *
1st Child's Name *
1st Child's Age/Grade (Fall 2018) *
One friend this child would like to placed with
2nd Child's Name
2nd Child's Age/Grade (Fall 2018)
One friend this child would like to placed with
3rd Child's Name
3rd Child's Age/Grade (Fall 2018)
One friend this child would like to placed with
4th Child's Name
4th Child's Age/Grade (Fall 2018)
One friend this child would like to placed with
Parent's Name *
Address *
Phone Number *
Emergency Contact (Other than parent) Please Include phone number *
Any Allergies
My child plans to eat dinner
Discovery UMC has permission to photograph my child
Clear selection
I am willing to volunteer:
Monday
Tuesday
Wedensday
Thursday
Help with Dinner
Shepherd
Crafts
Music
Bible Story
Games
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