Vacation Bible School Registration
VBS will be a time of fellowship, Christ learning, and fun. We will be using the Roar curriculum from Group. We will also be supplying a snack to every child. If you would like for them to have a lunch while at VBS, please have them bring it with them.

All who register after we reach our cap (50) will be put onto a wait list.
Dead line for sign ups is June 2.

Every child will need to be signed in and signed out each day.
If you have any questions, please email ryan@beecreekumc.org

Who: Kindergarten - 5th grade (Going into)
When: June 24-28 from 9:00am to 1:00pm (Doors open at 8:45pm)
Pick up and Drop off: Bee Creek UMC Gym

Child's Name *
Your answer
Gender *
Required
Child's Age *
Your answer
Household Address *
Your answer
Grade - Going Into *
1st Guardian's Name (First & Last) *
Your answer
1st Guardian's Cell Phone Number *
Your answer
1st Guardian's Email *
Your answer
1st Guardian's address if different from child's address
Your answer
2nd Guardian's Name (First & Last) *
Your answer
2nd Guardian's Cell Phone Number *
Your answer
2nd Guardian's Email *
Your answer
2nd Guardian's address if different from child's address
Your answer
Emergency Contact Name and Relationship *
Your answer
Emergency Contact Phone Number *
Your answer
Who Has Permission to Pick Up the Child (We will only give the child to someone listed below) *
Your answer
Special Information (Allergies/Medical) Severe allergies, food allergies, special diet, ADHD, autism, behavior issues, etc (This information will be confidential) *
Your answer
I give permission for my child's photograph or video image to be used on promotional or information materials, church social media, children's bulletin board and church website for positive public relation purposes. *
I consent to allow emergency medical aid to be administered to my child if the need arises. *
Additional Comments
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service