400 West Divine Street
Dunn, North Carolina 28334
(910) 892-2339 office
(910) 892-2814 fax
dsumc@nc.rr.com
Home
Divine Street presents
Vacation Bible School
! (Register Below)
Sunday, July 15 3pm - 5pm
Wednesday, July 18 9am - 12N
Monday, July 16 9am - 12N
Thursday, July 19 9am - 12N
Tuesday, July 17 9am - 12N
For ages 5 - 11:
DAY 1 - Sunday
DAY 2 - Monday
DAY 3 - Tuesday
For ages 3-4:
Preschool Tide Pool
DAY 4 - Wednesday
DAY 5 - Thursday
And returning this year by popular demand:
VBS for Parents and Adult Friends!
Printable Registration Form
Pre-Registration is preferred. On-line registration is below.
You will receive a confirmation when your information is submitted.
*
Indicates required field
Participant's Name
*
First
Last
Gender
*
Male
Female
Age
*
3
4
5
6
7
8
9
10
11
12
Adult
Birthdate
*
MM-DD-YYYY
School Grade Entering 2018-19:
*
3 year old Preschool
4 year old Preschool
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Not Applicable
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Mother's Name
*
First
Last
Father's Name
*
First
Last
Home Phone Number
*
Mother's Cell Phone Number
*
Father's Cell Phone Number
*
Email
*
Person/s allowed to pick up child/ren:
*
Photo/Video Permission
*
I give my permission
I do not give my permission
By selecting from the dropdown menu, I give/do not give authorization for the participant listed above to have photos taken during Divine Street UMC activities, to have photos used in printed materials, to have photos posted, used in electronic communications including the internet, website and email, and to have videos taken during Divine Street UMC activities to be used in public forums including events, internet and television. No names will be used.
Comments (Alergies, etc.)
*
Submit
