Family Registration Form - 2015
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Transcript of Family Registration Form - 2015
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Parent/Guardian Name/s:
1) Childs Name: ___________________________________________ Age: ________
2) Childs Name: ___________________________________________ Age: ________ 3) Childs Name: ___________________________________________ Age: ________
4) Childs Name: ___________________________________________ Age: ________
Address:
Phone Number: Home ____________________________ Work:
Cell ______________________________
E-mail:
Church Home: Allergies/Medical Information/Other:
(Make checks payable to MUMC with VBS 2015 notation)
After the deadline, registration cost increases by $10/familyFor more information, contact Nancy Cooper at 443-3111 or [email protected]
For Office Use Only PD/recd Medical Vol Class CD
Registration Fee - $30-families of 2-3; $40-families of 4; $50-families of 5 or more includes T-shirt & CD if registered by May 31st. Earlybird deadline-June 28
T-shirt Size/s: (please put the number of shirts total you need in each category)_____ Youth Small _____ Youth Medium _____Youth Large _____ Adult Small
_____ Adult Medium Adult Large _____ Adult X-Large _____ Adult XX-Large
Family Registration Form Participants welcome of all ages
Nursery available for ages 2 and under
Missouri United Methodist ChurchVacation Bible School (VBS)
July 26-30, 2015 Optional free dinner: 5:30 p.m.
Program begins 6:00 p.m. New!
Evening VBS