VBS Registration

First United Methodist Church of Dacula

VBS Registration

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Vacation Bible Study Registration

June 9th - June 13th 2008

9:00 a.m. - 12:30 p.m.

Children from 4 years old as of September 1st through Rising 5th graders. Fill out the form and press the submit button at the bottom of the screen to register. If you have any further questions contact Kristin Martin at 770-963-0785.

Child's Name :

Gender :

Age :

Grade just completed :

Date of Birth : (must be 4 as of Sept 1st)

T-shirt Size :

Parents' Name :		Parents' Email :
Home Phone :		Cell Phone :
Emergency Contact :		Emergency Number :
Where is your Home Church? :		Can you Volunteer?:

List any Allergies or Medical Conditions: