2022 Vacation Bible School Registration Form -          First United Methodist Church, Harlingen, TX
***THANK YOU FOR YOUR INTEREST - OUR PUBLIC REGISTRATION HAS NOW CLOSED DUE TO CAPACITY****

IF YOU ARE WITH JOURNEY DAY CAMP - PLEASE PROCEED WITH COMPLETING THIS FORM, YOUR CHILD IS ALREADY ACCOUNTED FOR IN OUR REGISTRATION; HOWEVER, WE NEED THE BELOW FILLED OUT FOR OUR REGISTRATION TEAM - THANK YOU!

For more information, visit our VBS Webpage at:  http://fumcharlingen.org/connect/vacation-bible-school-2022
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Email *
Number of Children Registering *
Children's Names, Age, & Grade Completed *
Is your child/children also attending JDC in June? *
Parent/Guardian Name(s) *
Parent/Guardian Phone #(s) *
Parent/Guardian Address *
Emergency Contact Person, Phone #'s & Relationship to Child *
Food Allergies *
If "Yes" to Food Allergies, please list them below:
Medical Concerns or Special Needs? *
If "Yes" to Medical Concerns or Special Needs, please list them below with Family Doctor, Doctor Phone # & Preferred Hospital:
Dismissal Information - Please list the Name(s) & phone #s of who may pick up your child. Note: We will not release your child to anyone not on this list. *
Church Affiliation/Membership (not required to attend, all are welcome!):
Medical Release *
Required
Photography and Media Release
Liability Release *
Required
Electronic Signature (please type name) & click "Submit" *
A copy of your responses will be emailed to the address you provided.
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