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Bethany United Methodist Church
6100 Moorman Rd.

Louisville, KY 40272

Our annual Vacation Bible School is an outreach ministry of our church. We hope you can join us!

Registrations are now being accepted. Please register as soon as possible by filling out the form below. If you have any questions please feel free to call the church office at 502-937-4040.

There is no fee to attend, however, donations are welcomed and will be accepted to help offset expenses.

We are looking forward to a great adventure and hope to see you here!



Registration Form
Items with an " * " must be filled in.

Childs Name: *
Childs Name:
Date of Birth: *
Date of Birth:
2nd Childs Name
2nd Childs Name
2nd Childs Birthdate
2nd Childs Birthdate
3rd Childs Name
3rd Childs Name
3rd Childs Birthdate
3rd Childs Birthdate
4th Childs Name
4th Childs Name
4th Childs Birthdate
4th Childs Birthdate
Parent/Gaurdian Name: *
Parent/Gaurdian Name:
2nd Parent/Gaurdian Name:
2nd Parent/Gaurdian Name:
Street Address: *
Street Address:
All blocks have to be filled in, please enter "n/a" for any blocks that are not necessary.
Home Telephone No: *
Home Telephone No:
Parent/Caregiver Cell Phone No.
Parent/Caregiver Cell Phone No.
Emergency Contact Name: *
Emergency Contact Name:
Emergency Contact Phone No: *
Emergency Contact Phone No: