VBS Registration Form Brecon UMC

Post on 09-Nov-2015

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Please return the registration form to Brecon United Methodist Church.

Transcript of VBS Registration Form Brecon UMC

Registration Form(One Per Child)

Childs name:_________________________________________ Childs gender: ____________

Childs age:_______ Date of birth:______________ Last school grade completed:_______

Name of parent(s):________________________________________________________________

Street address:____________________________________________________________________

City:________________________________________ State:_________ ZIP:___________________

Home telephone: (_______)_ _______________________________________________________

Parent/caregivers cell phone: (_______)____________________________________________

Home email address:______________________________________________________________

Home church: ___________________________________________________________________

Is there anything else you want us to know about you child? _______________________________

________________________________________________________________________________

Allergies or other medical conditions:_____________________________________________In case of emergency, contact:____________________________________________

Phone: ___________________________________

Relationship to child:_______________________________________________________

Mail Form to: Brecon UMC 7388 East Kemper Road, Cincinnati, Ohio 45249 or Fax to Brecon UMC at 513-489-3139

Permission to photocopy this resource from Groups Weird Animals VBS granted for local church use.Copyright 2014 Group Publishing, Inc., Loveland, CO. group.com