Christ United Methodist Church

VBS Registration

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Please enter the NAME, AGE, & GRADE COMPLETED for each child:

Address:

Home Phone:

Phone Number

Alternate Phone:

Phone Number

Home email address:

Name(s) of parent(s) or guardian(s):

Will parents be helping in other areas of Vacation Bible School?

Select from list

If yes, where will the parents be serving?

In case of emergency, contact: (Please provide name and phone number)

Allergies or other medical conditions?

Home church?

* required