Relationship to Child

Home Address

WE HOPE TO SEE YOU THIS 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

List Names of Those Who May Pick Up Child

You May Enter Your Child ONLINE (see below)

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

Watch Here for Upcoming Information

Our VBS is for Children

Ages 4 through 5th grade

If you have any questions regarding VBS,

please call (937) 686-8755