Monmouth Grace UMC VBS Registration

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Monmouth Grace UMC VBS Registration

August 19 ~ 23, 2019
(Mon)~(Fri), 9:00AM ~ 12:00PM

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Child's Name *

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Child's Gender

Female

Male

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Child's Age & Date of Birth *

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Name of Parent(s) *

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Street address

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Parent/caregiver's cellphone *

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Home email address *

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Home Church *

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Allergies or other medical conditions *

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In case of emergency, contact: (Please indicate relationship to child) *

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Emergency contact phone: *

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