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Arlington United Methodist Church. Jacksonville, Florida
Wednesday, June 20, 2018
Reaching Out In Love to Draw Our Community to Jesus Christ in Jacksonville, Florida
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VBS Registration Form 2018
  
Child's First Name    Last Name 
 
Age:         DOB:      Grade just finished:  
 
Parent(s):   and 
 
Guardian:   What relation? 
 
Home Address:    ZIP 
 
Phone numbers:
Home phone    Cell phone   other phone 
 
Email Address:  
 
Who my pick up your child?  
 
My we have permission to photograph your child for ID purposes and in group settings?   YES   NO 
 
Home Church:   
 
 Allergies or other Medical condition:  
 
In case of emergency we will call you 1st!
 
Hospital preferred  
 
Emerg Name:   Emerg Relation  
 
  Emerg Phone #1:    Emerg Phone #2:   
 
I affirm I am the parent or guardian of this child and give permission for them to attend the AUMC VBS.  Please type you name in this box
   
Enter your email here to receive a copy of this form:  
 
 
Blessings from the 2018 VBS team at Arlington United Methodist Church
 
Click here to fill in automatically