VBS Registration
Child's Name *
Your answer
For youth/adults, would you like volunteer
If volunteering, what days could you serve?
Child's Age *
Your answer
Parents/Guardians Name *
Your answer
Mailing Address *
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Contact Number *
Your answer
Email
Your answer
Birthday *
Your answer
Age *
Your answer
School Grade NEXT school year *
Your answer
Name ONE friend that you would like to be grouped with:
Your answer
Emergency Contacts *
Your answer
Emergency Contact Number *
Your answer
Who may pick up your child at the end of VBS each day? *
Your answer
Do you attend church? If so, where?
Your answer
T Shirt Size
Your answer
I give permission for my child to be photographed or video tapped while in attendance at St. Matthew's 2019 VBS *
I give St. Matthew's UMC permission to release my child's photo and name to the local newspapers. *
I authorize St. Matthew's UMC to obtain any and all medical treatment to be performed as deemed necessary by licensed medical personnel, including emergency medical personnel, ambulance personnel, and hospital doctors and nurses. *
Required
My child has food allergy *
If yes, please list
Your answer
My child has a special need *
If yes, please contact us at jgtgsmom@gmail.com for special information sheet so that we can best accommodate your child's need.
Your answer
Special instructions concerning your child's medical treatment if you prefer not to authorize St. Matthew's UMC to obtain liscensed treatment.
Your answer
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This form was created inside of St. Matthew's United Methodist Church.