Marlboro Registration Form 
Valid June 1, 2024 through May 31, 2025
Email *
Parent/Guardian Name (first & last) *
Home Address (street, city, state, zip) *
Main Phone (home or cell) *
May we send you group text messages regarding the activity or activities you are registering your child for? *
Emergency Contact (name & phone number) *
Name of Home Church (if applicable) *
Who is authorized to pick your child up from an activity/event? (other than the parent/guardian named above; you may list several) *
Child's Name (first & last) *
Child's Birthday *
Allergies, Medical, Dietary Restrictions or Other Important Information (to best help your child while he or she is in our care) *
Grade Entering (as of Fall 2024) *
Does your child have a cell phone? If so, may we send group text messages regarding the activity he or she is registered for? 

If yes to all, please provide his or her number, otherwise write "No".
 *
Check all boxes that apply for the 2024 Summer and 2024-2025 School Year activities you anticipate your child to participate in. *
Required
Child #2 Name (first & last)
Child #2 Birthday
Child #2 Allergies, Medical, Dietary Restrictions   or Other Important Information (to best help your child while he or she is in our care)
Grade Entering (as of Fall 2024)
Does your child have a cell phone? If so, may we send group text messages regarding the activity he or she is registered for? 

If yes to all, please provide his or her number, otherwise write "No".
Check all boxes that apply for the 2024 Summer and 2024-2025 School Year activities you anticipate your child to participate in.
Child #3 Name (first & last)
Child #3 Birthday
Child #3 Allergies, Medical, Dietary Restrictions   or Other Important Information (to best help your child while he or she is in our care)
Grade Entering (as of Fall 2024)
Does your child have a cell phone? If so, may we send group text messages regarding the activity he or she is registered for? 

If yes to all, please provide his or her number, otherwise write "No".
Check all boxes that apply for the 2024 Summer and 2024-2025 School Year activities you anticipate your child to participate in.
Child #4 Name (first & last)
Child #4 Birthday
Child #4 Allergies, Medical, Dietary Restrictions   or Other Important Information (to best help your child while he or she is in our care)
Grade Entering (as of Fall 2024)
Does your child have a cell phone? If so, may we send group text messages regarding the activity he or she is registered for? 

If yes to all, please provide his or her number, otherwise write "No".
Check all boxes that apply for the 2024 Summer and 2024-2025 School Year activities you anticipate your child to participate in.
I understand this year's Vacation Bible School is a FAMILY EVENT where the adults STAY with the children and participate with them throughout the evening - and may even get a little wet at recreation with the kids...

Please name the adult(s) joining us. If you are NOT registering for 2024 VBS, write "NA".
 *
Please select if you DO NOT want your child(ren)'s pictures used in media and promotion.
A copy of your responses will be emailed to .
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