VBS Registration Form Brecon UMC
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Registration Form (One Per Child) Child’s name:_________________________________________ Child’s gender: ____________ Child’s age:_______ Date of birth:______________ Last school grade completed:_______ Name of parent(s):________________________________________________________________ Street address:___________________________________________________________________ _ City:________________________________________ State:_________ ZIP:___________________ Home telephone: (_______)_ _______________________________________________________ Parent/caregiver’s cell phone: (_______)____________________________________________ Home email address:______________________________________________________________ Home church: ___________________________________________________________________ Is there anything else you want us to know about you child? _______________________________ ___________________________________________________________________________ _____
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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
