Rocky Mount UMC: Home: Vacation Bible School Registration


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Vacation Bible School Registration Click here to register your child for VBS at RMUMC! Children must be three years old and potty trained to participate. * Required First Name * Last Name * Email Address * Birthday * Address Line 1 * Address Line 2 City * State * ZIP Code * Home Phone * ( ) - ext. Mobile Phone * ( ) - ext. Mother/Guardian Name * Cell & Work Phones: * Father/Guardian * Cell & Work Phones: * Child's School Year Just completed? * Church currently attending? * Emergency Contact (Relationship & phone) * Allergies or medical conditions? * Will your child attend the Friday night celebration? Yes No T-shirt Size (Children's size) * Other individuals authorized to pick up your child? Relationship? * I hereby authorize the staff of Rocky Mount UMC VBS to administer first aid and/or arrange for emergency medical transportation for my child if I and/or my emergency contact cannot be reached by the submission of this registration form via the website. Last Published: June 2, 2009 8:45 PM
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