RIVERSIDE U.M.C. PRESENTS... INCREDIBLE FAITH SUMMER 2018 V.B.S.!!!!!

Picture2.jpg

Pre-Registration Form (per child)

 

Location:         Riverside U.M.C. Life Center

                        2410 41st St, Moline, IL 61265

Date:   June 18th -22nd

Time:   9:00 a.m.-12:00 p.m.

Fee:     $10/child or $15/Family

*Registration fee will be paid at check-in site June 18th as you sign in your child.

Child Name *
Child Name
Phone *
Phone
Address *
Address
NAME; PHONE NUMBER; & RELATIONSHIP TO CHILD
My child has permission to participate is activities at Riverside U.M.C.'s Life Center for Vacation Bible School on June 18th-22nd 2018. *
Photo/Media Permission *