Vacation Bible School Registration
Hope United Methodist Church
Please fill out one form for each child. Thank you for pre-registering!
Babylon Holy Land Adventure
First and Last Name of Child *
Your answer
Age of Child - as of July 1st *
* Age 4 through just-finished 5th Grade
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Grade Completed - Spring 2018 *
Your answer
First Name of Parent/Guardian *
Your answer
Last Name of Parent/Guardian *
Your answer
Street Address *
Your answer
Town *
Your answer
Zip Code
Your answer
Home Phone (with area code) *
Your answer
Cell Phone (with area code)
Your answer
Email Address *
Your answer
Alternate Pick-up Name *
Your answer
Alternate Pick-up Relationship *
Your answer
Alternate Pick-up Phone (with area code) *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Relationship *
Your answer
Emergency Contact Number (with area code) *
Your answer
Medical info, allergies, and/or special needs? *
Your answer
Emergency medical services are allowed if a parent or emergency contact cannot be reached? *
Photos of your child are allowed? *
Print & online photos are for church purposes only & never include names or identifying details.
Is there a friend your child would like to be paired with?
Your answer
How did you hear about "Babylon" VBS?
Your answer
Additional Information or Comments:
Your answer
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