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Visiting Wesley?

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VBS Registration

Vacation Bible School Registration Form

Child's Name: M:  
F: 
T Shirt size :
Home Address:
City: State: Zip:
Home Telephone Birthdate Age:
 
In case of emergency, contact:

Name:   

Phone:

   
Mother:
Home Phone:
Work Phone:
Cell Phone:
Father:
Home Phone:
Work Phone:
Cell Phone:

Other/Guardian Name:   

Phone:

   
E-mail Address:
 
What grade will your child be attending in the 07-08 school year?

Allergies or other conditions, which may limit activity:
   
Attends what church? :     Member:
 

  

 

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Wesley Memorial United Methodist Church  |  700 HWY 30 East - Huntsville, TX 77320  |  936.295.7459  |  office@wesleyhuntsville.org