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Registration
VBS 2008 Registration - Elementary
Elementary School Registration
Must be entering first-fifth grades in the fall of 2008.
VBS Elementary School Registration
*
Required
First Name
*
Middle Name
*
Last Name
*
Email Address
*
(For example: name@company.com)
Birthday
*
- Month -
January
Feburary
March
April
May
June
July
August
September
October
November
December
- Day -
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
- Year -
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
Address Line 1
*
Address Line 2
City
*
State
*
Zip Code
*
--
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FL
FM
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MH
MI
MN
MS
MO
MP
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VI
VT
VA
WA
WV
WI
WY
Age by 8/31/2008:
Grade in the Fall:
*
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
T-Shirt Size:
*
Child's Small
Child's Medium
Child's Large
Youth Small
Youth Medium
Youth Large
Parent's Name:
*
Daytime Phone:
*
Emergency Contact & Phone:
*
Allergies or other conditions which might limit activity:
I hereby give permission for images of my child, captured during regular and special activities through photo, video and digital camera, to be used solely for the purposes of promotional material, publications, and website of First United Methodist Church of Gainesville, Inc., and waive any rights of compensation or ownership thereto. I hereby release the First United Methodist Church of Gainesville, Inc. and its trustees, officers, employees, agents, legal representatives and assigns from any and all claims, actions and liability relating to its use of said photographs.
*
Yes
No
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