Sewickley UMC: 2026 Vacation Bible School Registration

  • Sewickley UMC: 2026 Vacation Bible School Registration

    July 26 - 29, 2026 at Sewickley United Methodist Church, located at 337 Broad St. Sewickley, PA 15143.

  • Child Information

  • Registering for which program?*
  • Date of Birth*
     - -
  • Last Grade Completed as of 7/26/2026*

  • Parent/Guardian Information

  • Format: (000) 000-0000.

  • Emergency Contact

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Health Information

  • If yes, do they carry an epi-pen?*
  • Does your child have asthma? (Recreation usually includes running around outside.)*
  • If yes, do they carry an inhaler?*

  • Authorization to Pick Up Camper

  • Authorized Person 1

  • Format: (000) 000-0000.

  • Authorized Person 2

  • Format: (000) 000-0000.

  • Authorized Person 3

  • Format: (000) 000-0000.

  • Relevant Child Information

  • Personality & Social Information

  • Is your child...
  • Does your child typically (more than 1 can be selected)...
  • Does your child experience any of the following (more than 1 can be selected):

  • Learning & Support Needs

  • Does your child have an individual aid/paraprofessional at school?

  • VBS Photo Release and Liability Form

  • As the parent or legal guardian of the child named above, give consent for my child to be photographed/recorded while participating in Vacation Bible School. I understand that these photographs/videos may be used for illustrative or informational purposes on the organization's website (sewickleyumc.org), Facebook Group (facebook.com/sewickleyumc/), Instagram (instagram.com/sewickleyumc/), or in publications. I understand that my child will not be identified by name. I understand that I can contact Sewickley United Methodist Church at any time if I have any questions.


    I understand that SUMC assumes no responsibility for injuries or illnesses that participant(s) may sustain. I agree to hold harmless, SUMC and its volunteers from and against any and all claims for personal injury and all other losses or damages that the participant may suffer as a result of their participation in VBS activities.

    I understand and agree that SUMC is not responsible for personal property that is lost, damaged, or stolen in connection with VBS.

  • Consent*

  • Liability Release

  • In consideration of Sewickley United Methodist Church allowing the above child to participate in Vacation Bible School activities, I, the undersigned, do hereby release, forever discharge, and agree to hold harmless Sewickley United Methodist Church, its directors, employees, volunteers, and agents (collectively herein the “Church”) from any and all liability, claims, or demands for accidental personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever that may be incurred by the undersigned and the above child while involved in Vacation Bible School. Furthermore, on behalf of my minor child, I hereby assume all risk of accidental personal injury, sickness, death, damage, and expense as a result of participation in activities involved therein. As well as releasing the child, if necessary, for transportation to and from the Vacation Bible School location, I, the undersigned, do hereby release, forever discharge, and agree to hold harmless Sewickley United Methodist Church, its directors, employees, volunteers, and agents from any and all liability, claims, or demands for accidental personal injury in the process of transportation.

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