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Vacation Bible School 2021 Registration
Thank you for registering your youth! Vacation Bible School will be July 18-22, 6:15-8:15 p.m. at Nameoki UMC. We are excited and looking forward to seeing you!
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Email
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Your email
Student Name(s) -- (You may use one form to register your entire household. If you have more than one child, please indicate the child's first name in the responses that follow.)
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Your answer
Student Birthday
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Your answer
Student Grade Completed
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Your answer
Special Needs, Allergies
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Your answer
Home church of student (if applicable)
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Your answer
Parent/Guardian Name
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Your answer
Address of Parent/Guardian
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Your answer
Home and Cell for Parent/Guardian
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Your answer
Email for Parent/Guardian
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Your answer
May we include your child's pictures in photos on our website or in printed material for the church?
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Yes
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Other:
Emergency Contact Name & Contact Number
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Your answer
2nd Emergency Contact Name & Number
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Your answer
Names and numbers of those other than emergency contacts who may pick up your child
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Your answer
Is your student coming with friend(s)? If so, what is/are their name(s)? (please indicate which student they are coming with, if you have more than one in your household)
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Your answer
A copy of your responses will be emailed to the address you provided.
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