Point Hope United Methodist Church
 

Vacation Bible School Registration


Child's Name
Parent/Guardian Name
Address
City
State
Zip
Email Address
Leave Blank

Phone Numbers
Home
Cell
Work
Age Information
Date of birth
Age
Last school grade completed

Home Church

Allergies/Medical Information/Other


Emergency Contacts
Name Phone
Name Phone
Dismissal Information Name(s) of person(s) who may pick up this child from VBS


  
Point Hope United Methodist Church   |   3404 Turgot Lane   |   Mount Pleasant, SC 29466
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