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V.B.S. 2010

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Asbury United Methodist Church
V.B.S. 2010

EXPLORING THE MIGHTY LOVE OF GOD

~~ REGISTRATION FORM ~~

Family Name____________________________________________________
Mom_________________________ Dad______________________________
Address____________________________ City________________________
Zip_________ Phone #1________________ Phone #2___________________

One Year of Preschool through 5th Grade Completed
Grade
Children’s Names Completed Birth Date

Is transportation needed to/from VBS? _____Yes _____No
Medical Information to Note:_______________________________________

I Would like to help!
Adult Name__________________________________ Phone_____________Youth Helpers: Name_________________________ Phone______________Address___________________ City_______________________ Zip_______Comments:

Asbury UMC July 19-23, 9:00 to Noon
1809 Mississippi Blvd. $3.00 Craft Fee per Child
Bettendorf, IA plus Mission Offering 355-5218