VBS Registration Form

WLUMC RAINFOREST FALLS VBS Registration Form

JUNE 8 - JUNE 11 | 6:00 PM-8:30 PM
PARTICIPANT'S NAME
Child's Full Name*

Last NameFirst Name
Child #2's Full Name

Last NameFirst Name
Child #3's Full Name

Last NameFirst Name
Child #4's Full Name

Last NameFirst Name
PARENT/GUARDIAN CONTACT INFORMATION
Parent/Guardian Full Name*

Last NameFirst Name
Parent/Guardian Email Address*
example@example.com
Parent/Guardian Cell Phone #*
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Secondary Contact #
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
MORE ABOUT VBS PARTICIPANT
Child's DOB:*

MonthDayYear
Date
Sex*

MaleFemale
Child #2's DOB:

MonthDayYear
Date
Child # 2's Sex

MaleFemale
Child #3's DOB:

MonthDayYear
Date
Child # 3's Sex

MaleFemale
Child #4's DOB:

MonthDayYear
Date
Child # 4's Sex

MaleFemale
Child's Age on 6/8/26*
Participant's most recently completed school grade: (if none, select N/A)*
Child #2's Age on 6/8/26
Participant #2's most recently completed school grade: (if none, select N/A)
Child #3's Age on 6/8/26
Participant #3's most recently completed school grade: (if none, select N/A)
Child #4's Age on 6/8/26
Participant #4's most recently completed school grade: (if none, select N/A)
ALLERGIES/SPECIAL NEEDS/CONCERNS *
Anything you feel we should know in help ensure your child has a fun and successful time with us—if none, please mark 'N/A.' (Please NOTE: Special Requests pertaining to people your child would like to be grouped with should be noted in the next question—do not enter that information in this section).
CHILD # 2's ALLERGIES/SPECIAL NEEDS/CONCERNS
Anything you feel we should know in help ensure your child has a fun and successful time with us—if none, please mark 'N/A.' (Please NOTE: Special Requests pertaining to people your child would like to be grouped with should be noted in the next question—do not enter that information in this section).
CHILD # 3's ALLERGIES/SPECIAL NEEDS/CONCERNS
Anything you feel we should know in help ensure your child has a fun and successful time with us—if none, please mark 'N/A.' (Please NOTE: Special Requests pertaining to people your child would like to be grouped with should be noted in the next question—do not enter that information in this section).
CHILD # 4's ALLERGIES/SPECIAL NEEDS/CONCERNS
Anything you feel we should know in help ensure your child has a fun and successful time with us—if none, please mark 'N/A.' (Please NOTE: Special Requests pertaining to people your child would like to be grouped with should be noted in the next question—do not enter that information in this section).
SPECIAL REQUESTS: Please note that we work to accommodate as many requests as we can, however, we will not accept special requests for registrations submitted after June 1. Please limit requests to one per child.
Child #2's SPECIAL REQUESTS: Please note that we work to accommodate as many requests as we can, however, we will not accept special requests for registrations submitted after June 1. Please limit requests to one per child.
Child #3's SPECIAL REQUESTS: Please note that we work to accommodate as many requests as we can, however, we will not accept special requests for registrations submitted after June 1. Please limit requests to one per child.
Child #4's SPECIAL REQUESTS: Please note that we work to accommodate as many requests as we can, however, we will not accept special requests for registrations submitted after June 1. Please limit requests to one per child.
ADDITIONAL PERMISSIONS & INFORMATION
PHOTO/VIDEO PERMISSIONS*

Yes, I give West Lawn United Methodist Church permission to photograph or record video of my child for use in church communications, including publications, social media, the church website, and other promotional materials.NO, please DO NOT take photos or videos of my child.

I give the following person(s) permission to pick up my child from West Lawn VBS

Rows	Full Name	Relationship	Contact #
1.)
2.)
3.)

I would like to register another child*
If completing this form for more than one child, please indicate if the above listed permissions should be uniformly applied. If not, please indicate the child's registration # on this form (i.e., Child #2, Child #3, or Child #4) followed by their photo permission selection and authorized pick-up person(s). *
Should be Empty:

WLUMC RAINFOREST FALLS VBS Registration Form

PARTICIPANT'S NAME

PARENT/GUARDIAN CONTACT INFORMATION

MORE ABOUT VBS PARTICIPANT

ADDITIONAL PERMISSIONS & INFORMATION