VBS 2018 Student Registration Form
SCHOOL LEVEL: Rising Pre-K through Rising 5th Grade (ages 4-10)
July 9-13, 2018
9:00 a.m. - 12:30 p.m.
COST: $20/child before June 15; $25/child after June 15

SUPERVISION POLICY: Every activity sponsored by St. Matthew's Episcopal Church is carefully planned and adequately supervised by mature, trained adults. However, even with the best of planning and precaution, unforeseen events can occur.

MEDIA POLICY: Photos bring life to and help tell the story of St. Matthew's. We would like to share photographs on our website to highlight the life of our vibrant community. We value your privacy and will therefore not identify individuals by name, except for official staff. The undersigned participant does agree to grant to St. Matthew's Episcopal Church permission to record on film, videotape, digital media or audio tape, his/her participation at Vacation Bible School (VBS). S/he further agrees that any or all of the material recorded may be used, in any form, as part of any production(s) made by the Church named above and that such use shall be without payment of fees, royalties, special credit, or other compensation. This form shall be valid until such time that it is revoked by the undersigned.

First Name *
Your answer
Last Name *
Your answer
School grade attending next year *
DOB *
Your answer
Street Address *
Your answer
City *
Your answer
ST *
Your answer
ZIP *
Your answer
Email *
Your answer
Home Phone *
Your answer
Cell Phone *
Your answer
Home church (if any)
Your answer
Parent/Guardian
Your answer
Emergency contact name (NOT a parent) *
Your answer
Emergency contact phone *
Your answer
Allergies
Your answer
Other medical conditions
Your answer
Special needs
Your answer
T-shirt size *
Release *
Required
Parent/Guardian signature *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service