Relationship to Child

Home Address

WE HOPE TO SEE YOU NEXT YEAR!

Grade Completed *

Medical Concerns

Alternate Phone Number

Age of Child

Child's Name *

Home Phone

Parents Namess

Transportation Needed?

Birthday *

Family Doctor

List any siblings attending VBS

VBS with PURPOSE!

List Names of Those Who May Pick Up Child

You May Enter Your Child

ONLINE

If you have more than one child attending, please submit

one child's information per form.

Church Affiliation?

Any Food Alergies

Emergency Contact Person

Contact Email: *

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Lewistown-Trinity UMC

Vacation Bible School

SPLASH CANYON

was a BLAST!

THANKS

FOR JOINING US

FOR ANOTHER EXCITING

VACATION BIBLE SCHOOL ADVENTURE!

Our VBS is for Children

Ages 4 through 5th grade

If you have any questions regarding VBS,

please call (937) 686-8755