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Child Registration - VBC 2018
Camp out with us as we journey with Jesus and learn how to ride the rapids of life with God!

Vacation Bible Camp @ VRUMC - June 18-20, 6:30-8 p.m. (dinner 5:30 p.m.)

Camp for ages 3 through 5th grade. Parent(s) are invited to attend with their children, but it is not required. Parents also can stay on site in the Parent Retreat area. If parent is not in attendance, child must be potty trained.

Suggested donation of $10 a child (maximum $30 per family). Donations can be paid by check or cash or online at vistaridgeumc.org under the Giving tab. Nursery for volunteer children available. Please contact Lisa Dominy (lisa@vrumc.org) with questions.

You are also invited to attend our FREE VBC @ Central Park - 6:30-8:30 p.m.
Thursdays, June 14, June 21, June 28

Dates Attending (check all that apply) *
Required
Child's name *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Grade in fall 2018 *
Gender *
Required
Allergies or other concerns (indicate NONE, if none) *
Your answer
T-shirt size *
Parent/guardian name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
ZIP *
Your answer
Mobile phone *
Your answer
Email *
Your answer
Please indicate the night(s) your child will have dinner with us. *
Required
I/we plan to attend with my child?
I want to purchase an adult VBC T-shirt (cost $10 each).
T-shirt size
Is there a friend your child wants to be placed with?
If YES, please list name of friend.
Your answer
Do you prefer that your children be placed together?
Are you currently a member of a church family?
If YES, where?
Your answer
Would you like information about this church?
How did you find out about VBC at VRUMC?
Emergency contact *
Your answer
Mobile Phone *
Your answer
Physician's name *
Your answer
Phone *
Your answer
Person responsible for picking up my child from VBC, if different from parent. *
Your answer
Phone *
Your answer
I give my permission for VRUMC to seek emergency medical care in the event that I cannot be reached. I release Vista Ridge United Methodist Church, its staff and volunteers of any liability in the event of accident or injury. VRUMC occasionally uses photography/video for publicity purposes. I give my permission to photograph/film my children for possible inclusion in VRUMC publications, website and other publicity materials. *
Required
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