Hopeland United Methodist VBS 2019 Sign Up
Sign up for the 2019 Vacation Bible School at Hopeland United Methodist Church!  Our VBS starts on June 9 and runs through June 13!  Our doors open at 5:45 PM and we end at 8:30 PM each night.

If you need to register more than one child, after you click the Submit button at the bottom of this form, there will be a link that takes you back to the start so you can fill out the information for another.

We're looking forward to seeing you!
Sign in to Google to save your progress. Learn more
Email *
Child's Information
Child's First Name *
Child's Last Name *
Child's Gender *
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Grade *
What grade did your child attend during the 2018/2019 school year?
Contact Information
Name of Parents *
Street Address *
City, State and Zip Code *
Phone Number *
Type of Phone Number *
Home Church
Emergency Contact
Emergency Contact *
Contact's Relationship with Child *
Emergency Phone *
Pick-Up Contacts
Please list the names of all people (including yourself) who might be picking up your child: *
Medical Information
Any allergies or medical conditions? *
Does your child have any special needs? *
Child Photo and Video Consent
We would be grateful for the opportunity to take photos of your child during Vacation Bible School in order to use them in our printed and online publicity.

By clicking the button below to submit this form, you are giving Hopeland United Methodist Church permission to take photographs and video of your child.  By clicking the button to submit, you are granting Hopeland United Methodist Church full rights to use the images resulting from the photography/video filming, and any reproductions or adaptations of the images for fundraising, publicity, or other purposes to help achieve the church's aims.  This might include (but is not limited to), the right to use them in our printed and online publicity, social media, press releases and funding applications.

If you have questions, or cannot agree to this statement for any reason, please contact Pastor Paul Miller (paul@methodistpastor.com) or call our office directly at (717) 738-1444 and ask for Pastor Paul.  We'll help you finish registration.
*
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of United Methodist Church. Report Abuse
Google Forms