VBS 2017 Online Registration
This is the participant registration form for Vacation Bible School at Old South United Methodist Church of Reading, MA. Camp runs the first full week in August (7-11) from 9am to noon. Volunteers (6th grade through adults) can sign up by emailing PastorCarol@oldsouthumc.org.
Parent/Guardian Names
Your answer
Guardian Phone 1
Best number to call if we need to reach someone during camp. Please include short description (ex: 781-315-0000 Mom's Cell)
Your answer
Guardian Phone 2
Number to call if we can't reach Guardian 1. (ex: 781-944-0000 Dad's Office)
Your answer
Home Address
Please include town and zip code
Your answer
Email Address
For correspondence before and during camp. This address will not be shared or used for any other purpose.
Your answer
Child 1 Name
First and Last
Your answer
Child 1 Nickname
Preferred name to be called. For example, Victoria goes by Vicky. We'll put Vicky on her name tag.
Your answer
Child 1 Date of Birth
MM
/
DD
/
YYYY
Child 1 Grade in Fall
For the next school year
Child 1 Gender
Child 1 Allergies or Special Concerns
Food allergies, learning disabilities, sensory sensitivities, challenging behavior, physical limitations, or anything else you would like us to know about your child. If none, write "none."
Your answer
The Bat Cave - Would Your Child Benefit from a "Break Room"?
We plan to provide a separate, sensory-sensitive space for children who get easily overwhelmed or may need a break from their peers or the structure of camp. Please let us know if you anticipate your child visiting the break room.
Do you have another child to register?
***This is not the final question. Please hit the "Next" button after this question to continue.
Next
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