VBS Child Registration

First United Methodist Church

What a Mess! VBS Child Registration - Please fill out one form per child you are registering
Parent/Guardian Information
Name:*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
Phone Number*

Area CodePhone Number
Child Information
Child's Name*

First NameLast Name
Child's Address*

Same as aboveDifferent
Address if different from above

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Gender*
Birth Date*

MonthDayYear
Age During VBS*
Grade in the Fall*
List allergy concerns: (If any)
List medical concerns: (If any)
Emergency Phone #:*
Emergency Contact Name:*
Emergency Contact Relationship:*
Please list anyone who has permission to pick up your child
Please list any children your child would like to be placed with. We will do our best to group selected friends together in the same crew, but we cannot promise that all requests will be possible.
First United Methodist Church, Vacation Bible School 2025, has my permission to take photos and videos of my child and their work for use in social media.
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First United Methodist Church