Bethesda VBS 2019 Registration
June 17th – 21st 5:30–8:00pm

Please register your child's information below. Children living in the same household may be registered together. All others must fill out separate forms. Thank you.

Participant Name / Grade Entering / T-shirt Size *
Your answer
Other Participant Name / Grade Entering / T-shirt Size
Your answer
Other Participant Name / Grade Entering / T-shirt Size
Your answer
Other Participant Name / Grade Entering / T-shirt Size
Your answer
Parent/Guardian Name *
Your answer
Address *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Home Church (if any)
Your answer
Friends of Your Child at Bethesda
Your answer
Special Needs/Allergies/Medical Information/Other
Your answer
Emergency Contacts (Name and Phone Number) Please list two. *
Your answer
Name(s) of person(s) who may pick up child(ren) from VBS *
Your answer
Photo Release: Bethesda UMC has my permission to use my child's/children's photograph publicly in VBS materials. I understand the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use. *
Required
By checking the box below I confirm the above information to be true and give the listed participant(s) permission to attend VBS 2019 at Bethesda UMC *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service