Vacation Bible School 2018 Childcare Registration
FREE childcare will be provided for children of volunteers ONLY! Registration for children who are too young for the VBS program (younger than 3 years old by 9/30/17) is critical. Please provide Emergency Care information for each child. Please note that the older children in the childcare class will experience an age appropriate VBS program. We will plan to communicate with you in the future primarily by email.

If your child has food allergies, please provide snacks for your child.

Child's First Name *
Your answer
Child's Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Parent Volunteer Name *
Your answer
Primary Phone *
Your answer
Type of Phone
Secondary Phone
Your answer
Type of Phone
Contact's Email *
Your answer
Known Allergies/Special Needs
Your answer
Medication Necessary
Your answer
What days will you be volunteering and need childcare? *
Please use the "Other" box if you plan on helping with pre-VBS assistance.
Required
During VBS week, photos and videos may be taken for use by AUMC in promotion of VBS. If you choose not to have your or your child(ren)'s photos or videos used, please sign an AUMC Photo Opt Out form, which may be obtained from the AUMC church office. These forms will be retained on file. A complete disclosure of AUMC's photo/video policy is available at the AUMC church office.

AUMC has my permission in an emergency, when I cannot be contacted, to call 911 Emergency services, an EMT or the hospital has my authorization to provide treatment, which a physician deems necessary for the well being of my child. By law a parent or legal guardian cannot consent in advance to any and all manner of emergency care. It is understood in most cases, other than the need for immediate emergency treatment, the attending physician may defer treatment pending the parent or guardian’s expressed permission to administer such treatment.

BY TYPING YOUR INITIALS IN THIS BOX, YOU AGREE TO THE AUMC EMERGENCY PROCEDURES DESCRIBED ABOVE. *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms