Harris Methodist Church VBS Registration
June 28, 29 & 30, 2026
Email
*
example@example.com
Student Name
*
First Name
Last Name
Last Grade Completed in School
*
Please Select
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
Does this child have any allergies?
*
No
Yes
If YES to Allergies, please list all (food or other) If no allergies, skip this field ;)
Parent / Guardian Name
*
Parent / Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
City
State / Province
Postal / Zip Code
Emergency Contact #1
*
Name, relationship
Emergency Contact #1 Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact #2
*
Name, relationship
Emergency Contact #2 Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
I hereby grant permission to use photos of the student registered above in any and all publications used by Harris Methodist Church. I acknowledge that participation of my student is voluntary and I will receive no financial compensation. I agree to hold Harris Methodist Church, it's staff and volunteers harmless from all claims.
*
Please Select
Yes, you can use photos of my child
No, please do not use photo of my child
Is there any special information we need to know about your child while in our care?
*
Submit
Should be Empty: