F.R.O.G VBS Form
We are excited to offer VBS on July 19-22nd from 9-12. Please complete this Fremont FUMC VBS form. Please fill out one form for each child participating. We look forward to celebrating and learning God's word with you soon!
Email *
Student Name *
Gender *
Date of Birth *
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Age *
Grade as of 7/31/2021 *
School Attended *
Allergies and/or Medical conditions *
Address *
Home Phone *
Mother's name
Mother's cell phone
Father's Name
Father's cell phone
Alternate Emergency contact *
Emergency contact relationship *
Emergency contact information: Address and phone number(s) *
I understand that by allowing my child to attend Vacation Bible School alone there are certain expectations of them. The child will be expected to follow all rules. They will need to sit quietly while waiting for VBS to start. If the child's behavior become a disruption and nothing seems to correct the problem, the child's parents will be called and the child will be asked to leave or we will ask that the parent attends VBS with their child. We want all children to learn and have fun, in order for this to be accomplished every child must follow directions. By selecting the "I Accept" button, you are signing this Agreement electronically. *
Required
In consideration for being accepted by FUMC for participation in VBS, I being the parent or legal guardian of minor listed on this form do release and agree to held harmless FUMC and the director thereof from any and all liability, claims, or demands for personal injury, as well as damage and expenses, of any nature that will be incurred by the parent/guardian and minor participate that occur while the minor is participated in thin the above described activity. I assume all risk of personal injury, damage, and expense as the result of participation in recreational activities involved. I he permission for the minor to participate fully in activities. By selecting the "I Accept" button, you are signing this Agreement electronically. *
I hereby authorize adult staff and volunteers of Fremont First United Church to consent to emergency medical or dental diagnosis or treatment and hospital care provided by a licensed practitioner. I realize every attempt will be made to contact me before providing medical treatment but that some emergencies may need immediate action. I agree to be liable for all related costs of care and emergency transportation incurred. By selecting the "I Accept" button, you are signing this Agreement electronically. *
I hereby consent to the use of any photographs and videos taken of my child to be used without his/her name by the Fremont First United Methodist Church in promotional materials including, but not limited to newspapers, bulletin boards, newsletters, internet and social media. By selecting the "I Accept" button, you are signing this Agreement electronically *
Parent Signature and date *
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