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VBS Student Registration Form
Road Trip - On the Road with God
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Email
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Record my email address with my response
Name
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Parent/Family/Guardian Name
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Your answer
Address
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Email Address
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Phone Numbers:
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Date of Birth
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DD
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Age
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Your answer
Last School grade completed
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Home Church (if any)
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Friends of your child at this church (for class placement)
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Special Needs / Allergies / Medical Information / Other
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Emergency Contacts
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Option 1
Option 2
Name(s) of person(s) who may pick up this child from VBS
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Photo Release: Disciples United Methodist Church/VBS has my permission to use my child's photograph in VBS materials.
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