VBS 2019 | Kingdom Chronicles
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Welcome to Belgrade Avenue UMC Vacation Bible School 2019
Supper starts at 5:30 p.m.
The VBS program is from 6:00 p.m.-7:15 p.m.
Ages 4 and up
Name of Primary Adult bringing child(ren):
Email:
This address will receive a confirmation email
Phone of Primary Adult:
Parent(s) Name(s):
Parent's Address:
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2nd Address (Option)
Optional
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Emergancy Contact Name if Parent Cannot be Reached:
Emergancy Contact Phone:
1st Attending Child's Name:
GRADE Completed or AGE/BIRTH DATE if under kindergarten:
Please List any Allergy or Medical Conditions for this Child:
Optional
2nd Attending Child
Optional
GRADE Completed or AGE/BIRTH DATE if under kindergarten:
Optional
Please List any Allergy or Medical Conditions for this Child:
Optional
3rd Attending Child
Optional
GRADE Completed or AGE/BIRTH DATE if under kindergarten:
Optional
Please List any Allergy or Medical Conditions for this Child:
Optional
4th Attending Child
Optional
GRADE Completed or AGE/BIRTH DATE if under kindergarten:
Optional
Please List any Allergy or Medical Conditions for this Child:
Optional
If you have more than four children, please list them following the format above: NAME, GRADE, and any allergies or medical condition(s) we need to be aware of to make VBS a safe and enjoyable experience.
Optional
I hereby GRANT Belgrade Avenue United Methodist Church Permission to use pictures of my child(ren) on their website for infomational or promotional puposes.
Please select all that apply.
YES Belgrade may use pictures of my child
NO I do not wish Belgrade to use pictures of my child
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