Child Registration - VBC 2019
VBC Kickoff - Thursday, June 20 at Central Park - 6:30-8:30 p.m. (includes dinner)
VBC - June 24-27 at VRUMC (6:30-8 p.m., dinner 5:30 p.m.)

VBC for ages 3 through 5th grade. Parents are invited to attend with their children, but it is not required. If a parent is not in attendance, the child must be potty trained.

Suggested donation of $10 a child (maximum $30 per family). Volunteer children attend for free. Donations can be paid by check/cash or online at vistaridgeumc.org under the Giving tab. Nursery for volunteer children available.

Dates attending *
Required
Child's name *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Grade in fall 2019 *
Gender *
Required
Allergies or other concerns (indicate NONE, if none) *
Your answer
T-shirt size *
Parent/guardian name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
ZIP *
Your answer
Mobile phone *
Your answer
Email *
Your answer
Please indicate the night(s) your child will have dinner with us. *
Required
I/we plan to attend with my child?
Is there a friend your child wants to be placed with?
If YES, please list name of friend.
Your answer
Are you currently a member of a church family?
If YES, where?
Your answer
Would you like information about this church?
How did you find out about VBC at VRUMC?
Emergency contact *
Your answer
Mobile phone *
Your answer
Physician's name *
Your answer
Phone *
Your answer
Person responsible for picking up my child from VBC, if different from parent.
Your answer
Phone
Your answer
I give my permission for VRUMC to seek emergency medical care in the event that I cannot be reached. I release Vista Ridge United Methodist Church, its staff and volunteers of any liability in the event of accident or injury. VRUMC occasionally uses photography/video for publicity purposes. I give my permission to photograph/film my children for possible inclusion in VRUMC publications, website and other publicity materials. *
Required
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