JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
VBS Registration - Hero Hotline
July 17 - 21, 2023 9:00am -11:30am
New Palestine United Methodist Church
3565 South 500 West
New Palestine IN 46163
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Child's
Name
*
Your answer
Address
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Grade Level for 2023-2024 School Year
*
Preschool
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Phone Number
*
Your answer
Parent / Guardian
*
Your answer
Emergency Contact
*
Your answer
Emergency Contact Phone Number
*
Your answer
Is child enrolled at Celebrations Child Care?
*
Yes
No
Required
Allergies
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of New Palestine United Methodist Church.
Report Abuse
Forms