First United Methodist Church    200 FM 517 West    Dickinson, TX    77539    281-534-3511
Vacation Bible School Registration
July 25th - 29th
5:30 p.m. - 8:30 p.m.
Age on 9/1/10
Child's Name:
Grade on 9/1/10
Date of Birth:
Parent(s) Name(s):
Address:
Phone Number (s):
e-mail:
Emergency
Contact/Phone #:
Home Church (if any):
Name of Person(s)
who may pick up from
VBS:
Allergies/Special
Needs:
Note: You may submit your registration online but parent signature required when child is
dropped off.