Sunday School 9:45 am Worship 11:00 am
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Pine Grove
UNITED METHODIST CHURCH
VBS Registration Form
Child’s Name
Parent/Guardian Name
Address
Email Address
Phone Numbers
Home
Cell
Work
Age Information
Date of Birth
Last School Grade Completed
Home Church
Where/How did you learn about Pine Grove UMC’s VBS?
Allergies/Medical Information/Other
Emergency Contacts
Name
Name
Phone
Phone
Dismissal Information
Name(s) of person(s) who may pick up this child from VBS each day
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