Request edit access
To Mars and Beyond VBS 2019 - TUMC child registration 4 yrs. (potty trained) - 5th grade (must complete one form per child)
Trinity UMC--Mon July 8th to Thurs July 11th, 2019 6:00-8:15 p.m. (Sing Sunday July 14th at 9:30 & 11 am.)
Event Address: 511 N Elm, Grand Island NE 68801
Cost is $10 per child. * maximum $30 per household/family. Scholarships are available.
Contact us via email at or or call Kara at the church office (308) 382-1952.
Email address *
To Mars and Beyond VBS - A meal will be served each night at 5:30 pm. Parents must stay with their children until they are finished eating and a VBS volunteer is available to supervise them. (not before 5:45) At 5:45 pm there will be a drumming circle and VBS will officially start at 6 pm in Gallaher chapel. All children will need to be signed out by a parent at the end of the night!
Child's Last Name *
Your answer
Child's First name *
Your answer
Age as of May 31, 2019/Grade for 2018-19 School Year *
Street Address *
Your answer
City, State *
Your answer
Zip Code *
Your answer
Parents Names (1st and last name please) *
Your answer
Parent phone # *
Please provide phone number where parent is most easily reached.
Your answer
Emergency Contact if parents can't be reached (Friend, neighbor, relative) *
Your answer
Emergency contacts phone number *
Your answer
Your answer
Special needs/concerns
Please list health concerns, sensory needs, ADHD, autism, Down Syndrome, or other things about your child that can help us make VBS a great experience for them.
Your answer
Permission to participate *
Please initial here to indicate that an adult (age 18 or older) responsible for the registrant has completed this registration, and that the child has permission to participate in Trinity UMC's To Mars and Beyond VBS 2019.
Your answer
Permission to photograph *
Please use the check boxes and indicating that you authorize that the registrant may be photographed for print, video, or electronic imaging and that images may be used in promotional materials for Trinity UMC, and that these images will be the sole property of Trinity UMC.
Would you like a CD of To Mars and Beyond VBS music? (1 per household/family) *
We are able to provide each household/family with a CD. Need an additional one talk to Sebrina or Brenda.
Has your child attended VBS at Trinity prior to 2019
Early Pickup--for preschoolers only
Please plan to pick up preschoolers at 7:30. Childcare will be available from 7:30-8:15 for those parents helping or those with older siblings at To Mars and Beyond VBS.
Please pay the $10 per child at the church. (Cash or check accepted maximum payment per family is $30) *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service