Bellefontaine First UMC VBS Registration 2021

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Registration for Vacation Bible School - August 3-5, 2021

Email *

Knight's Name (First and Last) *

Parent/Family/Guardian Name *

Address *

Phone Numbers: *

Last grade of school completed *

Friends or Family Members at this Church *

Special Needs/Allergies/Medication Information/Other (*Please let us know how we can best make your child's experience safe and fun)

Emergency Contacts (please list 2 in the following blanks with full name and cell phone) *

VBS Pick up - Please provide the full name of anyone that you authorize to pick up your child from VBS. *

Photo Release: Bellefontaine First UMC has my permission to use my child's photograph publicity in VBS materials. I understand the images may be used in print publications, online publications, presentations, websites, and social media. I understand that no royalty fee, or other compensation shall become to me by reason of such use. *

Yes

Are any other family members helping or attending this VBS? Please list.

Parent/Guardian Signature (please put your first and last name here and we will have you initial your registration on paper when first dropping off your child. *

Submit

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