Clone of CUMC Vacation Bible School Registration Form

Vacation Bible School Registration Form

Camilla United Methodist Church
Sunday, June 14-Wednesday, June 17

5:30 pm-8:00 pm
39 S. Harney Street Camilla, GA 31730

229-336-0301
Come one! Come all! Step Right Up and see the marvelous wonders waiting for you at the carnival! Carnivals are more than a place for entertainment — they’re an invitation to see something extraordinary. The best part? Everyone is invited! In this four-day series, kids can accept this invite from Jesus himself to be a part of something wonderful. As we do, we’ll discover how Jesus invites us to use the gifts God gave us, show God’s love to someone new, thank God for forgiveness, and share God’s story with everyone!
STUDENT INFORMATION
Name

FIRST NAMELAST NAME
Upcoming Grade
Age at Start of VBS
Gender
Have you previously attended VBS at CUMC?
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.Format: (000) 000-0000.
Secondary Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
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
Format: (000) 000-0000.
Alternate Guardian #1

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
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?
By submitting this form, I ackowledge I have read and understand the above information.
Signature
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Vacation Bible School Registration Form

Sunday, June 14-Wednesday, June 17

39 S. Harney Street Camilla, GA 31730

Medical Information

Additional Information