2022 Vacation Bible School at Berryton UMC
July 6-10, 5:30-8:30 PM | Please fill out this form and click submit.
Child's Information
Name
*
Date of Birth
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Next Grade to Enter
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Pre-K
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First Grade
Second Grade
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Fourth Grade
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Pre-K
Kindergarten
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Home Church (if any)
Allergies or Other Medical Conditions
Other Pertinent Information
We will be taking pictures throughout the week. May we have permission to post pictures, which may include your child, on our church website, Facebook Page or other church related publications?
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Yes
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Parent / Caregiver Information
Name(s)
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Email
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This address will receive a confirmation email
Home / Landline Phone Number
Mobile / Cell Phone Number
Street Address
*
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Emergency Contact Information
Name
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Relationship to Child
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Description
July 6-10, 5:30-8:30 PM
Please fill out this form and click submit.
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