Port Vue UMC 2006 VBS, June 26-30, 9 am-noon

 Please enter child's information (left column),     and (right column) parent/guardian information.

Do you attend a church regularly?Yes No   If Yes, name of the church.   

Are friends attending VBS your child wants to be grouped with? Yes No  
(We will do our best to accommodate requests, but it may not always be possible.)

Are there others in the household attending VBS?Yes No
If Yes, enter their names (coma separated).    

Does your child have allergies?Yes No   If Yes, please describe.  

Does your child need van transportation?:    Yes No
If yes, please enter address below (if different than above) and any special instructions for the driver.
 

Does your child have any special needs or limitations we should be aware of?