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2022 VBS I Wonder Registration Form
Please fill out one registration per child.
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Email *
Child Name: *
Parent Name: *
Address: *
Phone Number: *
Child Birthday: *
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Child Grade: *
Allergies:
Emergency Contact (other than parent) name and phone number: *
If someone other than the listed parent(s) will be picking up your child from VBS, please list their name(s).
If you have a teenage child  who would like to volunteer to help with a VBS station, please list their name and age:
2022 Indemnification Agreement, Medical Treatment, & Photographic Release: I (we) being 21 years of older, on behalf of my (our) minor child whose name is at the top of this form, do hereby agree to hold harmless from, indemnify, and defend against, including the payment of attorney’s fees, Christ United Methodist Church (CUMC), its trustees, ministers, officers, staff, and volunteers, including volunteers pertaining to any and all trips or activities, any claims, liability, allegations of personal injury, sickness, or death, as well as property damages and expenses, of any nature whatsoever that may be incurred by the undersigned and/ or child participant that may occur while said child is participating in any and all CUMC trips or activities. Furthermore, we on behalf of said child assume all risk of personal injury, sickness, death, damage and expense as a result of participation in the recreation activities involved herein. I hereby authorize the CUMC Staff and/or Volunteers to obtain and consent to medical treatment for my child in case of injury or illness during any and all CUMC trips or activities. I hereby grant CUMC and its employees, agents, volunteers and assigns the right to photograph my minor child and use the photo and or other digital reproduction of him/her or other reproduction of his/her physical likeness for publication processes, whether electronic, print, digital, or electronic publishing via the internet.Your typed name will be the electronic signature for this form. *
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