2019 VBS Registration Form
We’re excited that your family will be joining us for Milton UMC Vacation Bible School this summer! This year's theme is ROAR! Life is Wild...God is Good! VBS will run from July 28 - August 1. VBS is from 6:00pm-8:00pm each night with a optional kid friendly meal offered at 5:30pm. Cost is $10 per child or $15 per family which includes the meal and may be brought to the church office (241 Northside Dr.) or mailed to the PO address below. Please make checks payable to Milton United Methodist Church. We are happy to answer any questions. Just contact the church office at 608-868-2860 from 8:30 am to 12:15 pm. or send us an e-mail: miltonunitedmethodist@gmail.com

Mailing Address: Milton UMC
PO Box 158
Milton, WI 53563-0158

Child's Name (First and Last) *
Your answer
Date of Birth (mm/dd/yy) *
Your answer
2nd Child's Name (First and Last)
Your answer
2nd Child's Date of Birth (mm/dd/yy)
Your answer
3rd Child's Name (First and Last)
Your answer
3rd Child's Date of Birth (mm/dd/yy)
Your answer
Address (Street) *
Your answer
City *
Your answer
Zip Code *
Your answer
Parent/Guardian Name(s) *
Your answer
Parent Phone Number (best to use) *
Your answer
Parent E-mail (for staff use; will not be shared) *
Your answer
Emergency Contact (Name and Phone Number) *
Your answer
Allergies or Health Concerns, if any (please indicate which child)
Your answer
Media Policy: Milton UMC, at times, uses media images captured during various activities, events and programs in church-produced materials (Facebook, website, flyers, bulletins, etc.) **Please indicate whether permission is granted for the use of media images that include your family. *
Parent Agreement: I understand by submitting this form that I give my child permission to participate in all VBS activities. I will not hold the staff, Milton United Methodist Church or any of its representatives liable for any reason or in the case of accident or injury. I understand it is my responsibility to provide insurance for my child. In the event of an emergency, I give permission to any staff or representative of Milton United Methodist Church to seek medical attention as deemed necessary if I cannot be reached.I understand that I and my child will follow all rules and directions and may be asked not to participate if rules are not followed. *
I would like to pre-order a Roar! VBS music CD. The cost to me will be $10. (Extras may also be available at the end of VBS.) *
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