zz2015 VBS Registration Form

2015 VBS Registration

Princeton United Methodist Church
2390 South Lumpkin Street / Athens, GA 30606
www.princetonumcathensga.org
706-353-1123

* Indicates required field

Child-1 Name *

First

Last

Child-2 Name *

First

Last

Rising Grade: *

Rising Grade *

Birthdate: *

Age: *

Gender *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Child1_T-Shirt Youth Size: *

Child2_T-Shirt Youth Size: *

T-Shirt Adult Size *

Emergency Contact *

Cell Phone *

Alternate Phone *

Signature *

Name of person(s) who have permission to pick my child/children up from VBS: *

Allergies or special concerns that may limit child's activity: *

I give permission for the volunteers at Princeton United Methodist Church to obtain emergency medical treatment for my child/children. This release is effective June 22-25, 2015.

2015 VBS Registration Form.pdf
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﻿﻿2015 VBS Registration﻿

2015 VBS Registration