Vacation Bible School

Registration Form for Vacation Bible School
VBS will be held In the CMC - 7 S. Main St., Lead
July 18 - 22 5:45-8:00 pm
Ages 4 through Grade 5 (Grade Just Completed)

Youth in Grades 6-8 (Grade Just Completed) are encouraged to register as assistants. All fields must still be completed.

* Indicates required field

Child's Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Click this box if you are registering as an assistant. *

Assistant

Age or Grade just completed *

Evenings you hope to attend. Please check all that apply *

Allergies, Physical Problems, Restrictions, Special Needs *

Parents/Guardians Names *

First

Last

Name *

First

Last

Phone Number *

Relationship to child *

Email *

Emergency Contact when Parent or Guardian cannot be reached *

First

Last

Cell Phone Number *

Relationship to child *

Please read the following carefully and check all boxes that apply. *

By checking this box, you are authorizing the Trinity United Methodist Church to offer basic first-aid/medical treatment to your child. You understand that you will be notified of all treatment that is proviided By checking this box, you are authorizing Trinity United Methodist Church to use photos of your child for the purpose of church promotion. Examples are, but not limited to; slide show, advertisement posters, music videos, etc. By checking this box, you are authorizing Trinity United Methodist Church to use photos of your child on the church web page and Facebook page.

Submit

Vacation Bible School

Registration Form for Vacation Bible SchoolVBS will be held In the CMC - 7 S. Main St., LeadJuly 18 - 22 5:45-8:00 pmAges 4 through Grade 5 (Grade Just Completed)Youth in Grades 6-8 (Grade Just Completed) are encouraged to register as assistants. All fields must still be completed.

Registration Form for Vacation Bible School
VBS will be held In the CMC - 7 S. Main St., Lead
July 18 - 22 5:45-8:00 pm
Ages 4 through Grade 5 (Grade Just Completed)

Youth in Grades 6-8 (Grade Just Completed) are encouraged to register as assistants. All fields must still be completed.