Abundance Orchard VBS - Registration Form
VBS 2022: Abundance Orchard - - - "where faith grows and hungry people are fed"

Community VBS led by Marysville United Methodist Church & Pilgrim Lutheran Church

Monday - Thursday, August 8-11, 6:00-8:15 p.m.
at Marysville United Methodist Church

Please fill out a separate form for each child participant.
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Child's First Name *
Child's Last Name *
Child is ENTERING which grade? *
Child's Date-of-Birth *
MM
/
DD
/
YYYY
Child's Shirt Size *
Any allergies?
Medical concerns?
Does your child have a friend or friends he/she would like to be placed with? If so, please share a name or names. (We will do our best to group selected friends together, but we cannot promise all request will be possible)
Parent First Name *
Parent Last Name *
Parent Email *
Address (Number/Street/P.O. Box/Apt. #) *
City *
Zip Code *
Contact Phone *
Emergency Contact Name *
Emergency Contact Relationship *
Emergency Contact Phone *
VBS Photo Release: I give permission for photographs containing my child to be used on the church's social media. *
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