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Utica Church of Christ
Last update: December 27, 2011

Vacation Bible School 2011

June 13th -17th ~ 6:00 p.m. - 8:30 p.m.
Dinner will be served at 5:30 p.m.


Main Registration
Please only register one child at a time.
First and Last Name:
Age:
Date of Birth (mm/dd/yyyy):
Street Address/PO Box:
City/Zip:
Phone Number:
School Grade Completed:
Parent's Name(s):
Are you a member of Utica Church of Christ? Yes
No
Would like more information
Please have Minister contact me
Email address for confirmation (if you do not have an email address, please insert N/A in the blank):
  

Please be sure to fill out the Medical Information below for each child you are registering.

Medical Information
Please only register one child at a time.
Child's Name:
Parent's Name(s):
Location and Phone number during VBS:
Please list ALL Medical history:
Is child allergic to any medication? Is so please list:
Please list all medication that your child will be taking during this week:
Is your child allergic to bee stings:
Please list any other Medical concerns here:
Email address for confirmation (if you do not have an email address, please insert N/A in the blank):
  


Pictures Coming Soon


Daily Attendance
                          Kids      Workers      Visitors      Total
Monday:             30            23                01              54

Tuesday:            34            24                02             60

Wednesday:       41            25                02             68

Thursday:          00            00                 00               00

Friday:               00            00                 00               00

Daily Offering
This year we are collecting money and medical supplies to be sent to
our missionaries in other countries.
Monday: $13.07      Tuesday: $23.45      Wednesday: $43.32

Thursday: $      Friday: $      Sunday: $

Total: $79.84

Daily Medical Supply Collection
Monday: 0      Tuesday: 18      Wednesday: 13

Thursday:       Friday:       Sunday:

Total:



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