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Bellville Methodist
Bellville Methodist Church
Child's Name
*
First Name
Last Name
Parent/Family/Guardian Name:
*
Address:
*
Email:
*
Primary Phone Number:
*
Secondary Phone Number:
*
Date of Birth:
*
Current Age:
*
School Grade (going into) in August, 2022:
*
tshirts
*
YXS
YS
YM
YL
AS
AM
AL
AXL
AXXL
Home Church (if any):
Friends of your child attending VBS:
Special Needs/Allergies/Medical Information/Other:
*
Emergency Contacts: Name and Phone Numbers
*
Name(s) of person(s) who may pick up this child from VBS:
*
Additional Information BUMC VBS needs to know:
Photo Release: Bellville United Methodist Church (BUMC) /VBS has my permission to use my child's photograph publicly in BUMC materials. I understand the images may be used in print, online publications, presentations, websites, and social media.
*
Yes
No
Thank you!