Vacation Bible School Registration Form | Please Fill one out for each child
Monday, July 20 - Friday, July 24, 2009... Vacation Bible School VBS Camp Houston Texas
Camper Information:    
First Name
 M.I.
 Last Name
Date of Birth:
Month Date Year 		Gender:
 School Attending:
 Grade:
 
Parent Information:
 Name:Employer/Business Name: Daytime Phone:
Camper Lives with
Mother or Guardian:
Father or Guardian:
  Relationship to Camper:  
Alternate Contact:
 

 
Residence:
Street Address
 Apt.
 City

State
 Zip Code
   

Phone (10 digits, +area code)
Email
Sibling Campers:
Yes No		 How Many?
 Campers T-Shirt Size
      Youth S M L       Adult S M L XL
 
Medical Information:
Allergies
 Special Medical Needs
 Additional Helpful Information
 
Personal Information: (OPTIONAL)
Race/Ethnicity:
White Black Hispanic Asian or Pacific Islander Am. Indian or Alaskan Other
    
Church Member Which One?  
Would you like to be contacted to learn more about Grace UMC?  
 
Payment Information: $100 Donation per child.
 
 
 

 Grace United Methodist Church  |  1245 Heights Boulevard  |  Houston, Texas  77008  |  713.862.8883  |  info@graceintheheights.org             Texas Methodist Foundation
It is the policy of the Te United Methodist Church not to discriminate on the basis of age, color, handicap or disability, ancestry, national origin, marital status, race, religion, sex, veteran status, or political affiliation in its educational or employment programs and activities.

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