Christiana United Methodist Church
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March 10, 2010


Christiana United Methodist Church Vacation Bible School Registration Form --------------- July 12-16, 2009 -- 6:30 to 8:30PM
Welcome to the CUMC VBS Registration page. Please complete the requested information below and then use the "SUBMIT" button once all the information has been completed. If you have any questions or comments please include those in the comments/questions block. Also please ensure to complete your email address if you have a comment/question so we may properly respond.

Your Child's Information
Childs First Name
Childs Middle Name
Childs Last Name
Childs Nickname (if any and not wanting to use First Name as listed above)
Childs Street Address
Childs City/State/ZIP
Childs Birthdate xx/xx/xxxx format
Childs Age
Childs School Grade Completed as of June 2009
Parent/Guardian Information
Parent/Guardians First Name
Parent/Guardians Last Name
Parent/Guardians Address is different from childs
Parent/Guardians Home Phone Number
Parent/Guardians Cell Phone Number
Parent/Guardian email address
Comments / Questions
  







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