FUMC VBS Registration
Email address *
If you are registering more than 3 children, you will need to submit the form twice. Contact Jeff Hobbs 979.779.1324 or jeff@fumcbryan.org if you have questions. Children must be 4 years old as of August 3, 2020. We will have child care for volunteer's children under 4. If you want your child to be in a group with another child, list the other child under the "preferred group-mate" section. These are not guaranteed especially if you are registering after August 1st. Children 4 years old - 4th grade cannot be put in a group with 5th and 6th graders.
Parent's/Guardian's Name (First & Last) *
Your answer
Address *
Your answer
Phone # *
Your answer
Emergency Contact *
Your answer
Emergency Contact's Phone # *
Your answer
Child's Name (Preferred First & Last) *
Your answer
Date of birth: *
MM
/
DD
/
YYYY
Grade Entering This Fall *
T-Shirt Size *
Preferred Group-Mate
Your answer
Allergies or Other Medical Conditions:
Your answer
Additional Notes:
Your answer
Child 2's Name (Preferred First & Last)
Your answer
Date of birth:
MM
/
DD
/
YYYY
Grade Entering This Fall
T-Shirt Size
Preferred Group-Mate
Your answer
Allergies or Other Medical Conditions:
Your answer
Additional Notes:
Your answer
Child 3's Name (Preferred First & Last)
Your answer
Date of birth:
MM
/
DD
/
YYYY
Grade Entering This Fall
T-Shirt Size
Preferred Group-Mate
Your answer
Allergies or Other Medical Conditions:
Your answer
Additional Notes:
Your answer
If you are registering multiple children, should your children be in the same group?
Emergency Medical Treatment Authorization *
I hereby authorize the doctor specified below, or any other qualified physician, to administer emergency medical treatment at the hospital I choose above, to my child. *
Required
Family Doctor
Your answer
YES! I will help with VBS.
Contact me about helping with VBS.
I am helping with VBS and need child care for my child under 4 years old.
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