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2008 Vacation Bible School
Registration Form
Child's First Name or nickname Child's Last name
Last Grade Completed: Pre-K or Kindergarten 1st,2nd Grade 3rd,4th Grade 5th,6th Grade
Please use this text box to list any special dietary or medical instructions:
Parent's First Name Parent's Last Name
Home phone number Cell phone/ emergency phone
Address: City:
What e-mail address would you like your confirmation sent to?
Do you regularly attend Parker UMC? yes no
Do you regularly attend another church? yes no
Would you like the Pastor or a lay member to contact you about joining the United Methodist Church?
yes, I would like the Pastor to contact me yes, I would like a lay member to contact me.
no, I am not interested in joining a church.