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)
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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:
2nd Attending Child
GRADE Completed or AGE/BIRTH DATE if under kindergarten:
Please List any Allergy or Medical Conditions for this Child:
3rd Attending Child
GRADE Completed or AGE/BIRTH DATE if under kindergarten:
Please List any Allergy or Medical Conditions for this Child:
4th Attending Child
GRADE Completed or AGE/BIRTH DATE if under kindergarten:
Please List any Allergy or Medical Conditions for this Child:
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.
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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