VBS June 14th - 18th
Chandler United
Methodist Church
450 E. Chandler Heights Rd.
Chandler, AZ
TODAY'S DATE:
CHILDS NAME:
PARENTS NAME:
HOME ADDRESS:
E-MAIL:
PHONE 1:
PHONE 2:
PHONE 3:
CHILDS AGE:
LAST GRADE:
HOME CHURCH:
MEDICAL CONCERNS:
OTHER EMERGENCY CONTACT:
OTHER CONTACT PHONE 1:
OTHER CONTACT PHONE 2:
CAN YOU HELP DURING VBS?:
Yes
OTHER INFO:
