FSFUMC Stellar VBS Registration Form

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June 7-10th 5-8pm

June 11th- VBS Sunday & 'Out of this World' Party!

Dinner will be served each night from 5-5:30. *Please include any food allergies in the indicated space below.

Child's Name *

Childs Age *

Date Of Birth *

Last Grade Completed *

Name of Parent(s) *

Home Address *

Parent/ Caregiver Cell *

Parent/ Caregiver Email Address

Home Church

Allergies, Medical Conditions, Special Needs *

In case of emergency, Contact... *

Phone: *

Relationship to Child *

Any other info you want me to know?

I consent to the collection and use of my child’s personal images by photography or video recording at FSFUMC VBS events. I acknowledge these images may be used on the district or conference and/or FSFUMC websites, newsletters, publications and social media accounts. I understand that no personal information, such as names, will be used in any publications unless express consent is given.

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