Vacation Bible School

Vacation Bible School Registration

Beech Grove United Methodist Church
Child(ren) Information

Please use this section to regsiter as many children as you need to register. Click the "+ Add" button to add each additional child. Please Note: That each child registered will be associated with said parent/guardian listed above, and therefore, said person is responsible for child(ren).
Child(ren) Information*
Parent Information
Name

First NameLast Name
Phone Number
E-mail
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency and Pick Up Information
Is the parent/guardian above the primary emergency contact while the child(ren) is at Beech Grove for VBS?*

YesNo
Emergency Contact's Name*

First NameLast Name
Relation to Child*
Best Contact Number
Is the parent/guardian above the primary person responsible for pickup while your child(ren) attends VBS at Beech Grove?*

YesNo
Pickup Person's Legal Name*

First NameLast Name
Best Contact Number
Addtional people who can pick up your child*
*PLEASE NOTE: All persons picking up any child(ren from Vacation Bible School at Beech Grove UMC must bring some form of identification before we can release the child into their custody. Only those listed as "Responisble for Pickup," Parent/Guardian named at the top, and those listed below will be able to pick up children. To add multiple, click the "+ Add" button.
Photo Release Consent

Beech Grove United Methodist Church 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.
Do you consent?*

YesNo
Name*

First NameLast Name
Today's Date*

MonthDayYear
Date
Should be Empty:

Vacation Bible School Registration

Child(ren) Information

Parent Information

Emergency and Pick Up Information

Photo Release Consent