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Youth Group: 6th-12th Grade
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Vacation Bible School
Mon, June 22 - Thurs, June 25
6 - 8 pm
For any QUESTIONS, Please email
[email protected]
Participant Registration
Type your new text here.
Student First Name
Student Last Name
Grade in school
Preschool age
Completed Kindergarten
Completed 1st Grade
Completed 2nd Grade
Completed 3rd Grade
Completed 4th Grade
Completed 5th Grade
Birthdate
Month
January
February
March
April
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June
July
August
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November
December
Date
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Year
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2026
Gender
Male
Female
I'd rather not say
Allergies
Conditions requiring special consideration:
Does Your Student Require: (check all that apply)
Epipen
Inhaler
Primary Contact First Name
Primary Contact Last Name
Relationship to student
Cell Phone
Email
Second Contact First Name
Second Contact Last Name
Relationship to student
Cell Phone
Email
Phone Number
I would like to sign this student up for the free dinners each night (check all that he/she will be attending):
Monday
Tuesday
Wednesday
Thursday
Anything other helpful information you would like to share?
The following people have permission to pick up the student (include full name and cell #).
PHOTO POLICY: I understand that photos will be taken throughout the event each night. These photos will be posted on the First Christian Church and First UMC Facebook pages, and their respective websites.
I am in agreement with this policy
I am NOT in agreement with this policy
Signature
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