2008 Vacation Bible School Registration

VBS at PHUMC

Perry Hall United Methodist Church
July 14-18  ~  9:00 am — Noon
Beach Party: Surfing Through the Scriptures

Child's Name

Parent/Guardian Name

Street Address

City, State ZIP Code

E-Mail address

Home Phone (Please include Area Code)

Cell Phone

Work Phone

Age Information

Date of birth

Age

Last school grade completed

Home Church

Returning Attendee to PHUMC Vacation Bible School? Yes No, first time

Allergies/Medical Information/Other Notes

Emergency Contacts

Name

Phone

Name

Phone

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

Name

Name