vbs registration form

Vacation Bible School

Seymour Lake United Methodist Church

Monday, August 9^th through Friday, August 13th

EVENINGS: 6:00 – 8:30

REGISTRATION FORM

(ages 4yrs old through 6^th grade)

Child's name

Address

Parent/Guardian Name:

Home Phone: Cell Phone:

Child’s age: Date of Birth: Gender:

Last School Grade Child Completed:

Child is to be registered for the following grade/group

Person responsible for picking up this child at the end of each VBS day:

Name: Relationship to Child:

Telephone Number:

Please list any allergies, medical needs, special needs or any other important information:

Please Note: Information Packet will be mailed to you shortly after you register your child

Seymour Lake United Methodist Church

3050 Sashabaw Rd. Oxford, MI 48371 248.628.4763

At the corner of Sashabaw and Seymour Lake Road