Mt Pleasant UMC
Vacation Bible School
Child’s Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian
First Name
Last Name
Cell Phone Number (Emergency)
-
Area Code
Phone Number
Email
example@example.com
Age and Rising Grade
First Choice for Activity
Football
Cheerleading
Basketball
Soccer
Art
Drama
2nd Choice
3rd Choice
Concerns/Allergies
Submit
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