First Methodist Church, Dumas TX VBS Registration Form
Parents/Guardians will need to sign a release form at first arrival
Please provide the following information to pre-register your child for VBS
VBS Dates: Tuesday-Thursday, June 25-27, 5:30PM-7:30PM
Child's Name
*
First Name
Last Name
Child's Age
*
School Grade This Fall
*
Please Select
Preschool
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Parent / Guardian Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Emergency Contact Person
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Allergy or Other Medical Information
Persons Authorized to Pick up my Child
Submit
Should be Empty: