2022 Holliston UMC VBS Registration

WHAT: IN PERSON VBS

WHO: 3.5 yrs old (3 by 1/1/2022) - 6th grade (as of Fall 2022)

WHEN: June 22nd (Wednesday) - June 25th (Saturday)

*June 22nd (Wednesday) - June 24th -- 5:30-9:00pm (Dinner will be served at 5:30pm)

*June 25th (Saturday) -- 10:00am-2:00pm (Lunch will be served)

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FEE:

* Early Registration WITH FULL PAYMENT (through June 10th): $30 for 1st child, $25 for each additional child
* Late Registration (after June 10th): $35 for 1st child, $30 for each additional
Registration includes t-shirt and materials

***T-shirts are NOT guaranteed after June 10th.***

Financial aid is available. Please email esther@ourcch.org or joyki2014@gmail.com

Payment can be made through

* Zelle (cch.finance@gmail.com - in the notes, write "VBS" and child(ren)'s name(s))

OR

* Check (payable to: Holliston UMC (in Memo, write"VBS" and child(ren)'s name(s)).

Checks can be mailed to: Holliston Children's Ministry (VBS), 1305 E. Colorado Blvd., Pasadena, CA 91106).

Questions? Contact esther@ourcch.org or joyki2014@gmail.com

Child's Name *

First Name Last Name

Child's Birth Date *

Date

Child's Grade (in Fall 2022) *

Child's Gender *

Female Male

Does your child have any allergies, chronic illness, or medical conditions? If none, write "none". If yes, please describe. *

Child's T-shirt Size *

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Parent/Guardian Information *

First Name Last Name

Parent/Guardian E-mail *

example@example.com

Parent/Guardian Cell Phone Number *

Please enter a valid phone number.

Emergency Contact's Name (Other than parent listed above) *

First Name Last Name

Emergency Contact's Phone Number *

Please enter a valid phone number.

How did you hear about our VBS?

By intialialing below, we acknowledge and understand photos will be taken of this event and grant permission for said photos to be used for general church purposes (i.e. website, social media, etc).

Parent's Initials

Informed Consent and Acknowledgement--I hereby give my approval for my child’s participation in any and all activities prepared by Holliston UMC during the 2022 VBS. In exchange for the acceptance of said child’s candidacy by Holliston UMC, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Holliston UMC and all its respective employees, staff, and volunteers from any and all liability for accidental injuries, sickness or death (including but not limited to the effects of Covid 19) to said child arising out of participating in 2022 VBS. In case of injury to said child, I hereby waive all claims against Holliston UMC, including all church staff, volunteer assistants and affiliates, all participants, sponsoring agencies, and, if applicable, owners and lessors of premises used to conduct the event. Also, in the event that I cannot be reached in an emergency, I hereby give my permission to the physician or dentist selected by the church leadership to hospitalize, to secure proper treatment, and/or order an injection, anesthesia, or surgery for the child named above, as deemed necessary. I also agree to accept full financial responsibility for the cost of such treatment. *

Parent's Initials

By initialing below, I understand that my registration will not be complete until the fee is paid in full. Payment can be made through Zelle (cch.finance@gmail.com - in the Notes, write "VBS" and child(ren)'s name(s)) OR by check (payable to: Holliston UMC (in Memo, write"VBS" and child(ren)'s name(s)).Checks can be mailed to: Holliston Children's Ministry (VBS), 1305 E. Colorado Blvd., Pasadena, CA 91106). *

Parent's Initials

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Parent's Signature *

Clear

2022 Holliston UMC VBS Registration

Child's Information

Parent/Guardian Information

Emergency Contact Information