Salem UMC VBS Registration 2024
Parent/Guardian Information
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メールアドレス *
Parent/Guardian Name(s) *
Home Address *
Mobile Phone Number(s) in use while child is at VBS *
How did you learn about Salem's VBS? *
Do you have a church you regularly attend? *
Name of Home Church
Emergency Contact
In the event of an emergency, the following person may be called and is authorized to pick up my child. Please list someone other than parent/guardian listed on previous page. Positive identification must be provided before your child will be released.
Name(s) *
Relationship *
Phone Number(s) *
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