VBS Online Registration

Special Note: VBS will run for 4 days this year, June 19 (Mon) - June 22 (Thur).

 

Child's First & Last Name*
What is your child's age? (3 yr. olds must be potty trained)*
What is the last grade your child completed? *
What is your email address?*
What is the home address of your child? *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
What is your child's home telephone number (with area code)?*
What is your cell telephone number (with area code)?*
In case of emergency, contact #1 name?*
Emergency Contact #1 Telephone: Please include area code with telephone number.*
In case of emergency, contact #2 name?*
Emergency contact #2 Telephone: Please include area code with telephone number.*
Please list any known food or other allergies your child has. *
What is the name of the home church you attend?
Name of a special friend(s) you might like to be with:
Parent/Guardian Electronic Signature*
Celebrate a successful Vacation Bible School with the Gravel Hill worshiping community! The children are asked to return and sing at the June 25, 2017, 10:30 A.M. service. Parents and family are invited to join us for worship. Any questions? joyce@gravelhillumc.org
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