Radcliff United Methodist Church
Saturday, April 19, 2014
God's People Filled with God's Presence Fulfilling God's Purposes


God's Backyard: Under the Stars Vacation Bible School

July 7-11, 2013 from 5:30 p.m.- 8:30 p.m.

Pre-school through 5th grade

 

Name: 

Age: 

Address: 

City: 

State: 

Zip Code: 

Home Telephone: 

Cell Phone Number: 

Email Address: 

Date of Birth: 

Last School Grade:

Emergency Contact: 

Mother's Name: 

Father's Name: 

Allergies/Medical Condition: 

Home Church: 

Names of those who are authorized to pick up your child/ren: