CUMC Vacation Bible School Registration Form

Vacation Bible School Registration Form

Camilla United Methodist Church
Monday, June 16-Wednesday, June 18

5:30 pm-7:45 pm
39 S. Harney Street Camilla, GA 31730

229-336-0301
Come aboard! Feel the warm sunshine and cool sea breeze as we set sail on a new adventure. An ocean cruise is perfect for relaxing, having fun, and making new memories with the people you love. When we embark on a journey like this, we can trust the captain to lead us toward our destination — and we can trust God in the same way! On this 3 day voyage, kids will develop a deeper understanding of how to follow Jesus when they learn God shows us how to love others, gives us gifts to serve others, and prepares us to share the good news!
STUDENT INFORMATION
Name

First NameLast Name
Upcoming Grade*
Age at Start of VBS*
Gender
Have you previously attended VBS at CUMC?

YesNo
Home Church (if any)
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number
Please enter a valid phone number.
Secondary Phone Number
Please enter a valid phone number.
Siblings Also Enrolling in VBS
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.
Primary Guardian*

First NameLast Name
Relationship to child*
Phone Number*
Alternate Guardian #1*

First NameLast Name
Relationship to child*
Phone Number*
Medical Information
Please list all allergies -- or type "none" if there are none*
Please list all medical concerns -- or type "none" if there are none*
Additional Information
VBS photos/videos are taken for promotional purposes and for parents to enjoy related to Vacation Bible School. These pictures will be placed our Facebook page. Do you allow your child to be included in these photos/videos?*

YesNo
By submitting this form, I ackowledge I have read and understand the above information.
Signature*

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Vacation Bible School Registration Form

Monday, June 16-Wednesday, June 18

39 S. Harney Street Camilla, GA 31730

Medical Information

Additional Information