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For Office Use Only

PD/recd

Medical

Vol

Class

CD

Missouri United Methodist Church

Vacation Bible School (VBS)


July 26-30, 2015
Optional free dinner: 5:30 p.m.
Program begins 6:00 p.m.

Family Registration Form


Participants welcome of all ages
Nursery available for ages 2 and under

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Registration Fee - $30-families of 2-3; $40-families of 4; $50-families of 5 or more


includes T-shirt & CD if registered by May 31st. Earlybird deadline-June 28
Parent/Guardian Name/s: 
1) Childs Name: ___________________________________________ Age: ________
2) Childs Name: ___________________________________________ Age: ________
3) Childs Name: ___________________________________________ Age: ________
4) Childs Name: ___________________________________________ Age: ________
Address: 
Phone Number: Home ____________________________ Work: 
Cell ______________________________
E-mail: 
Church Home: 
Allergies/Medical Information/Other: 

T-shirt Size/s: (please put the number of shirts total you need in each category)
_____ Youth Small

_____ Youth Medium

_____ Adult Medium Adult Large

_____Youth Large

_____ Adult Small

_____ Adult X-Large _____ Adult XX-Large

(Make checks payable to MUMC with VBS 2015 notation)

After the deadline, registration cost increases by $10/family


For more information, contact Nancy Cooper at 443-3111 or nancy@moumc.org