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VBS Registration - FUMC Mocksville
Sunday, June 9- Thursday June 13 in the Family Life Center
Dinner from 5:30-6:00
Program 6:00-8:00
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FUMC VBS
Name adult(s) bringing and picking up the child(ren) to VBS
*
Your answer
Relationship of adult bringing the child(ren) to VBS
*
Parents
Grandparents
Guardian
Aunt/Uncle
Friend
Other
Required
Phone Number(s) of adult(s) bringing the child(ren) to VBS
*
Your answer
Adult email address
*
Your answer
Name of additional emergency contact person
*
Your answer
Phone number(s) of emergency contact person
*
Your answer
Names of additional people allowed to pick up child(ren)
Your answer
Do you agree to allow photos of your child to be used in church presentation or church promotional materials?
*
Yes
No
Child #1 first and last name
*
Your answer
Child #1 completed grade 2018-2019
*
Choose
PreK
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
Child #1 t-shirt size
*
Choose
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Child #1 special needs/allergies
Your answer
Child #2 first and last name
Your answer
Child #2 completed grade 2018-2019
Choose
PreK
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
Child #2 t-shirt size
Choose
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Child #2 special needs/allergies
Your answer
Child #3 first and last name
Your answer
Child #3 completed grade 2018-2019
Choose
PreK
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
Child #3 t-shirt size
Choose
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Child #3 special needs/allergies
Your answer
Thank you!
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