2009 Vacation Bible School Registration
    Camp Edge Camp Edge
Perry Hall United Methodist Church
   July 13-17  ~  9:00 am — 12:30
Ages 4 years and up

           

Child's Name   

Parent/Guardian Name   

Street Address   

City, State ZIP Code  

E-Mail address   

Home Phone (Include Area Code)

Cell Phone

Work Phone


Date of birth
      Age    Last school grade completed 

Home Church

Returning Attendee to PHUMC Vacation Bible School?

Allergies/Medical Information/Other Notes

Camp Edge

Emergency Contacts

Name       Phone   

Name        Phone  

Dismissal Information

Name(s) of persons who may pick up this child from VBS

Name   

Name