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2024 VBS Registration
Student's Name
*
Parent/Guardian Name
*
T Shirt Size
*
Address
Email
Preferred Phone
Student's Birthday
Month
Last grade student completed
Does this student have any friends at the church with whom they'd like to be placed in groups? If so, please list here.
Does your child have any special needs/allergies/medical information of which we need to be aware to ensure they have a safe, fun time?
Emergency contact name
Emergency Contact Phone
Name(s) of person(s) who may pick this child up from VBS?
*
Photo Release: Marshfield UMC/VBS has permission to use my child's photo in VBS materials, in print and/or online. My child will not be identified by name and no compensation shall become payable to me by reason of such use.
Yes
No
Signature: Typing your name here serves as your signature for this registration.
Submit
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