VBS Registration

SHILOH UMC

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Vacation Bible School Registration
July 26 - 29
6 - 8 pm
Open to children age 3 to grade 5.

* Indicates required field

Child's Name *

First

Last

Gender *

Female Male

Age *

Date of Birth *

Last Grade Completed *

Food Allergies *

Yes No

If so, what? *

Medical Conditions *

Yes No

If so, what? *

Parent's Name *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Emergency Contact *

First

Last

Relation to Child *

Emergency Phone Number *

Child May Be Picked Up By: *

Does the child attend church? *

Yes No

If so, where? *

I consent for photographs and/or video and sound recordings of the child named above and/or me, made during church activities to be used for promotion and publicity of the ministry of Shiloh United Methodist Church. *

Yes No

Submit

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Home
About Shiloh
- Worship Archive
- Newsletter
Life at Shiloh
- Adults
- Children
- Serve
- Calendar
Contact
- Attendance
- Prayer

Vacation Bible School RegistrationJuly 26 - 29​6 - 8 pmOpen to children age 3 to grade 5.

Vacation Bible School Registration
July 26 - 29
6 - 8 pm
Open to children age 3 to grade 5.