REGISTRATION: 2024 East Union & Washington Mennonite Vacation Bible School
We are gearing-up for Vacation Bible School this summer! We would love to have your child(ren) attend. Please fill out the following form to register your child(ren). Lunch and snacks will be provided.

DATES: Friday, July 26 - Saturday, July 27
LOCATION: East Union Mennonite Church, 5615 Gable Ave SW, Kalona, IA 52247
TIMES: 9:00 a.m. to 3:00 p.m.
AGES: 4 years old thru 6th Grade

Please register by July 10th

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Email *
Parent First & Last Names *
Primary Phone Number *
Mailing Address *
Name and Phone Number of Emergency Contact (other than parent) *
CHILD 1: Name *
CHILD 1: Last Grade Completed *
CHILD 1: Birthdate *
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CHILD 1: Medical Conditions/Dietary Restrictions/Allergies
CHILD 2: Name
CHILD 2: Last Completed Grade
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CHILD 2: Birthdate
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CHILD 2: Medical Conditions/Dietary Restrictions/Allergies
CHILD 3: Name
CHILD 3: Last Completed Grade
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CHILD 3: Birthdate
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YYYY
CHILD 3: Medical Conditions/Dietary Restrictions/Allergies
CHILD 4: Name
CHILD 4: Last Completed Grade
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CHILD 4: Birthdate
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CHILD 4: Medical Conditions/Dietary Restrictions/Allergies
Waiver of Responsibility *
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Parent/Caregiver Digital Signature *
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