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ADULT VBS Registration

 

Please fill out a separate form for each member of the family that will be attending.
You will receive a confirmation email (*if you fill-in the email address line) shortly after submitting this form online.

 

 

Name:


First Name:    Last Name:     M/F? 

 

 

Mailing Address:

 

Address Line 1:

Address Line 2:

City:    State:   Zip:

 

Phone:

 

Home:     Work:      Cell: 

 

 

Child Care Registration:

 

Do you need child care for any children 3 years old but NOT potty-trained OR younger?

If yes, how many?

Names and ages of children needing childcare:

 

 

Other Information:

 

Spouse attending vbs?

 

Number of children attending vbs:

 

Number of Your Youth (6th Grade-12th Grade) Attending VBS or working as a helper :  

 

 

Church Membership Information:
This is for informational purposes only.  You do NOT have to provide this information.

 

Member of  Edmond FUMC?

 

If no, and you are a member of a church, what church do you attend?

 

 

Email Address: