SCUBA VBS Registration
Event Days: July 18th- July 22nd 2022
Event Time: 9am - 12pm
Event Address: 8405 W. Main Street, Marshall, VA 20115
Contact us at (571) 408-3437 or Childrens@MarshallUMC.org
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Child's Name *
Age/Last grade completed *
Street Address *
Parent Name *
Phone number *
Parent Email *
What days will you attend? *
Required
Dietary restrictions/food allergies *
Other Allergies/Concerns
Emergency Contact (Name and Number)
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