FUMC VBS 2022 Event registration
Event Timing: Sunday, July 10- to Tuesday, July 12 from 5:30PM - 7:30PM
Event Address: First United Methodist Church, 201 S Hill Ave, El Dorado, AR 71730
Contact us at (870) 390-0315 or lisa.oden@gmail.com 

You may complete the form online or print the form and turn it in to the church office. Thank you.
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電子郵件 *
Untitled Title
*
Parent/ Guardian Name *
Parent/ Guardian Address *
Parent/ Guardian Phone Number *
If parent/guardian cannot be reached, emergency contact name and phone number: *
Child 1    Name
Child 1   Allergies / Special Concerns
Child 1    Grade Entering in Fall 2022
Child 1   T-shirt Size
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Child 2    Name
Child 2   Allergies / Special Concerns
Child 2    Grade Entering in Fall 2022
Child 1   T-shirt Size
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Child 3   Name
Child 3   Allergies / Special Concerns
Child 3    Grade Entering in Fall 2022
Child 3   T-shirt Size
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Child 4    Name
Child 1   Allergies / Special Concerns
Child 4    Grade Entering in Fall 2022
Child 4   T-shirt Size
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Child 5    Name
Child 5   Allergies / Special Concerns
Child 5    Grade Entering in Fall 2022
Child 1   T-shirt Size
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Photo Consent: Do we have your consent to use your child(ren)'s photo from VBS in the bulletin, on our website, or on our FaceBook page? *
EMERGENCY MEDICAL TREATMENT.  I release First United Methodist Church of El Dorado from liability for any injuries or losses incurred while taking part in Vacation Bible School. In the event of a medical emergency, if cannot be reached, I authorize the VBS staff to act for me according to their best judgement. I grant permission for my child to be given Medical treatment at a local hospital, if it is deemed necessary.     Parent/Guardian signature below (Enter your full name below as legal signature).   *
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