VBS Registration Form
Please print, complete and return to church office with event fee ($5 each for June & August; $10 for July)
Use one form for each child
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Mini Bible Camp Days
Ages 4-10
____Missionary Impossible!
June 22nd 12:30 - 3:30 (Raindate June 23rd)
Ledgeview Park
Dickinson Rd.
____H2O Jesus
July 20th 12:30 - 3:30 (Raindate July 21st)
Ashwaubomay Park
____Rocket with Jesus!
August 17th 12:30 - 3:30 (Raindate August 18th)
Ledgeview Park
Dickinson Rd.
Name of Child _____________________________ AGE _______
Name of Parent(s) _______________________________________________
Address _______________________________________________________
Street Number/Name City Zip
Phone Number(s) ____________ E-Mail _______________
Emergency Contact _____________________________________________
Phone ___________ Relationship ___________________
Emergency Contact _____________________________________________
Phone ___________ Relationship ___________________
ALERGIES/SPECIAL NEEDS:
Cost to attend:
$ 5.00 per child for June
$10.00 per child for July (includes admittance to swim)
$ 5.00 per child for August
___ Enclosed/attached check payable to New Hope UMC
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YES, I CAN HELP!
Name ______________Phone ___________
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