Arlington United Methodist Church Jacksonville FL Traditional worship Liturgical worship Liturgical calendar
Arlington United Methodist Church. Jacksonville, Florida
Saturday, July 22, 2017
Reaching Out In Love to Draw Our Community to Jesus Christ in Jacksonville, Florida
VBS Registration Form GS 2017
  
Child's First Name    Last Name 
 
Age:         DOB:      Grade just finished:  
 
Parent(s):   and 
 
Guardian:   What relation? 
 
Home Address:    ZIP 
 
Phone numbers:
Home phone    Cell phone   other phone 
 
Email Address:  
 
Home Church:   
 
 Allergies or other Medical condition:  
 
In case of emergency we will call you 1st!
 
Hospital preferred  
 
Emerg Name:   Emerg Relation  
 
  Emerg Phone #1:    Emerg Phone #2:   
   
Enter your email here to receive a copy of this form:  
 
 
Blessings from the 2017 VBS team at Arlington United Methodist Church