Vacation Bible School Registration Form

VBS will be held June 12 - 15, 2017 from 5-7:30pm.

Our VBS is for children who will be entering grades PreK - 4th grade in the 2017-2018 school year.

**If your child has food allergies, please provide a dinner bag for them with their name and grade on the bag. Thank you.**

Child's Name:
 *
Gender:
 *
Age:
 *
Grade child will enter into 2017/18 school year:
 *
Address:
 *
Parent's Name(s):
 *
Home phone:
 *
Cell phone:
 *
Email:
 *
Are you a member of FUMC?:
 *
Has your child attended our VBS before?:
 *
Are you aware of the FUMC Risk Reduction Policy?:
 *
Emergency Contact Person (other than parent):
 *
Phone #:
 *
Relationship to child:
 *
Parent's phone # where they can be reached when child is attending VBS:
 *
Medical Needs/Allergies:
 *