FUMC & The Parish VBS Registration Form
(ages: Finished Kindergarten through Finished 5th Grade)
Student 1 Info
Name, Age
School grade completed
T-shirt Size
Student 2 Info
Name, Age
School grade completed
T-shirt size
Student 3 Info
Name, Age
School grade completed
T-shirt size
Student 4 Info
Name, Age
School grade completed
T-shirt size
Parent/Guardian name
Phone Number
Parent/Guardian name
Phone Number
Special needs/Allergies
I, the undersigned parent or guardian, do hereby attest that all the information on this form concerning my child/dependent is the most current available for my child (the “Participant”).I give my permission for the Participant to participate in the activities at Jacksboro, TX First United Methodist Church. This includes all sponsored activities on or off the premises of JFUMC. I hereby authorize FUMC Jacksboro staff and VBS 2024 leadership to administer the medications as arranged. In order for my child to receive necessary medical treatment from medical staff and/or physicians in a medical clinic or hospital in case of illness or injury, I hereby consent to and authorize the ministry staff to obtain and consent to medical treatment for such illness or injury during the activity or activitiesof FUMC Jacksboro. It is understood that this authorization and consent is given in advance of any specific diagnosis or treatment and is given to encourage those persons who have temporary custody of the Participant, in my absence, and medical staff to exercise their best judgment as to the requirements of such diagnosis or said medical treatment. This medical consent will remain effective until one day after 2024 VBS week (July 8-13) when signed, unless terminated in writing. I understand that any and all medical expenses incurred are my responsibility.
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Photo release: Church/VBS has my permission to use my child’s photograph publicly in VBS materials. I understand the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.
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Submit
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