Caledonia United Methodist Church

Vacation Bible School Registration

Child's Name
Child's Age
Child's Grade Completed
Parent's Name

Street Address
City
State
Zip

Home Phone Number
Daytime Phone Number

Emergency Contact Name
Emergency Contact Phone Number

Allergies
Special Instructions

Have you attended Vacation Bible School at Caledonia United Methodist Church before?
	Yes
	No
How did you hear about our Vacation Bible School program?
	Caledonia Parade
	Word of Mouth
	Newspaper
	At Church

Open hearts. Open minds. Open doors.

250 Vine Street, Caledonia, MI 49316
Telephone: (616) 891-8669
Email: Webmaster