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VBS 2022 Registration
Register for Zoomerang VBS at Berlin Center UMC
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* Indicates required question
Child's Name
*
Your answer
Age (at time of VBS)
*
Your answer
Grade Completed
*
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
School Attending
Your answer
Address
*
Your answer
Allergies or Other Medical Conditions
Your answer
Parent/Guardian Name
*
Your answer
Parent/Guardian Email
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Phone Number
*
Your answer
Photo Release - I give Berlin Center UMC permission to photograph my child and use said photographs for the purpose of any print, online, or social media presentations
*
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