Galactic Blast VBS 2010  
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Galactic Blast VBS 2010 at Farmville United Methodist Church

Participant Registration

Kid Cadets (Ages 4- 12), get ready for an outer space voyage praising God at Galactic Blast VBS 2010. We look forward to you joining us on this cosmic combination of faith and fun!

* - Required Fields

personal information

* First Name:

* Last Name:

Gender:

 

address and phone

* Address Line 1:

* City:

* State:

* Zip Code:

* Home Phone:

Other Phone:

* Email Address:

 

emergency and guardian information

Allergies & Medical Information:

Emergency Contact Name:

Emergency Contact Phone:

Emergency Contact Relationship:

 

additional information

Age:

Grade in school for Fall 2010:

Are you a member of FUMC?:

 
 
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To order VBS 2010 by phone, call 1-800-672-1789