BEACH PARTY: SURFIN' THROUGH THE SCRIPTURES
REGISTRATION FORM - 2008
Child's full name &  age
Date of Birth and last school grade completed
Parent or Guardian's Name
Address
Email address
Phone Numbers:
Home, Work, Cell
Important Information!
Allergies, Medical Information/Other
(If none, please type none)
Emergency
Contacts and
Phone Numbers
Dismissal Information - Name(s)
of Person(s) who may pick up
Child from VBS.
Other Information you think we should know!
PLEASE COMPLETE ALL FIELDS AND THEN CLICK THE SUBMIT BUTTON.  
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                           Thank you!
MARY TAYLOR MEMORIAL
UNITED METHODIST CHURCH
168 Broad Street                                                                                                          
Milford, CT 06460                                                                                                
203-874-1982
mtmumc@sbcglobal.net                                                                                        
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