JUMC VBS Registration Form 2024
*SCUBA: Diving into friendship with God 
*July 8 to 12 from 9 am to Noon (Preschool 3/4 year old [potty-trained] & Kindergarten to 4th grade)
* Complete one google form per family. 
* Donation of $20 per child/$40 maximum per family. Bring or mail cash/check to the church office or pay electronically on our website 
* Complete registration and payment before Monday, July 1. Please read the 2024 VBS Guidelines here before registering your child.   
Questions: jumc.childrens@gmail.com
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Email *
Family Last Name *
Street Address *
City, State, Zip  *
Parent's/Guardian's Name and Cell Phone Number   *
Child's Name, Age, DOB, Grade Completed *
Child's Name, Age, DOB, Grade Completed
Child's Name, Age, DOB, Grade Completed
Child's Name, Age, DOB, Grade Completed
Child's Name, Age, DOB, Grade Completed
List any allergies or other medical conditions or NA if does not apply *
Does your child carry an epipen *
I read and agree to the JUMC VBS 2024 Guidelines  *
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