First UMC's Rainforest Falls Vacation Bible School Registration Form

First UMC's Rainforest Falls Vacation Bible School Registration Form

Join us at First UMC Hershey (64 W. Chocolate Ave. Hershey) for our VBS! All children from 3 years old through exiting 5th grade welcome! When: July 26th-30th from 6-8:30pm Questions?? Email Cassie McCachren at kids@firstumchershey.org.
STUDENT INFORMATION
Name

First NameLast Name
Birth Date

MonthDayYear
Date
Gender
Grade completed by June 2026
Home Church (if any)
Primary Guardian

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
EMERGENCY CONTACTS
Please list the first and last names and phone numbers off ALL adults who are allowed to pick up this child. The child will only be released to these people.
1st Emergency Contact

First NameLast Name
Relationship to child
Phone Number
Format: (000) 000-0000.
2nd Emergency Contact

First NameLast Name
Relationship to child
Phone Number
Format: (000) 000-0000.
Medical Information
Please list all allergies -- or type "none" if there are none
Does your child carry an epi-pen? (please note: if yes, it is the responsibilty of the child's guardian to ensure the child has the epi-pen at every drop off and pick up)
Please list all medical concerns -- or type "none" if there are none
Additional Information
VBS photos/videos are taken for promotional purposes related to First United Methodist Church. These pictures appear in various media outlets such as our facebook page and webpage. Do you allow your child to be included in these photos/videos?
By submitting this form, I ackowledge I have read and understand the above information.
Signature
Should be Empty:

First UMC's Rainforest Falls Vacation Bible School Registration Form

Medical Information

Additional Information