Madison Street United Methodist Church

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Please register below for VBS 2018. If you have questions please contact Brooke Knight at brooke@madisonstreetumc.org.
* Denotes a required field to fill in
PARENT First Name*
PARENT Last Name*
Phone (including area code)*
Email*
Verify Email*
Please list the NAMES and rising GRADE LEVELS (2018-19 school year) for all children in your family who will be attending VBS (PreK 4's through 5th grade):*
Please list any allergy information we need to be aware of.
Please give the NAME and PHONE NUMBER of at least one emergency contact person (other than yourself).*