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Park Memorial UMC 2023 VBS Registration
PMUMC 2023 VBS June 26th-30th, 5:30 pm - 7:45 pm
Please submit this form separately for each child you are registering.
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First Name (Child)
*
Your answer
Last Name
*
Your answer
Birthday
*
MM
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DD
/
YYYY
Age
*
Your answer
Address
*
Your answer
Parent's Name (first and last)
*
Your answer
Phone Number
*
Your answer
Parent's Name (first and last)
Your answer
Phone Number
Your answer
Relevant Allergy/Medical Information
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