Athens! ~ VBS 2019
Join us for a truly unique VBS week, unlike any other! Imagine leaving a life of privilege and power to face angry mobs, painful imprisonment, and chain-breaking earthquakes—all to spread the life-changing truth of God’s love. Learn the jaw-dropping story of the Apostle Paul…straight from Paul himself! In an ancient “anything goes” culture, Paul will inspire kids to share the truth of God’s immeasurable love today.
Cost: $30.00 per child (per child up to 2 children; additional children per family will be $20.00 each)

Payment and Registration Deadline: June 15th. Payment must be received in full to reserve your child's spot no later than this date. If payment is not finalized by this date, your child's spot will not be reserved and therefore could result in being filled.

Ages: 3 years (potty trained) to 5th Grade

Parent Volunteers Needed and Welcome! Please contact Rodnei Williams youth@wellumc.org if you are interested in volunteering (Incentive as follows: A discount on your registered child's week's tuition cost OR free child care for parents with children under the age of 3 will be provided).

July 8 -12 ~ 9:00-12:00 (Closing program on Friday the 12th at 12:30)

Wellspring UMC, 6200 Williams Dr., Georgetown, TX 78633

Email address *
Child #1 *
Your answer
Age of Child as of June 1, 2018 *
Your answer
Date of Birth. *
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T-Shirt Size *
Please check which size in youth
Please select the VBS class your child would be in according to their age as of June 1, 2018
Allergies *
Please list all. If none, specify N/A
Your answer
Child #2
Your answer
Date of Birth
MM
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DD
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Age of Child as of June 1, 2018
Your answer
T-Shirt Size
Please check which size
Please select the VBS class your child would be in according to their age as of June 1, 2018
Allergies
Please list all. If none, specify N/A
Your answer
Register Additional Children
Please list their full names, date of birth, current age as of June 1, 2018, any allergies they may have, and their T-Shirt size needed. Please indicate which age group they would fall under. (ages 9-11, 6-8 years, or 3-5 years)
Your answer
Parent/Guardian Name *
Your answer
Address *
Street, City, Zipcode
Your answer
Phone Number *
Please list the best contact phone number
Your answer
Email address *
Your answer
Emergency Contact *
Please list at least one person, other than those listed above, whom we could contact in the case of an emergency.
Your answer
Emergency Contact Pick-Up Auth *
Is this person authorized to pick-up your child? Please check yes/no. A photo ID is required for ALL people who pick-up your child.
Required
Emergency Contact Phone Number *
Your answer
Additional Pick-Up Authorization
Please list at least one other person, beside yourself and your emergency contact, who is authorized to pick up your child. A photo ID will be required for ALL people upon pick up.
Your answer
What is the relationship of the person authorized to pick-up? *
Home Church *
Are you a member of Wellspring UMC or another church congregation? Please list where you attend services. If you are not currently a member at any church, please list NA.
Your answer
Registration Cost $30.00 for the Week (per child up to 2 children; additional children per family will be $20.00 each) *
Registration is not complete until payment has been received in full. Cost includes VBS week supplies, daily snack, T-shirt, water bottle, and Friday Pizza Lunch. Please check which method of payment you will be paying by below. All payments can be given to Sue or Rodnei in the church office. Checks can be made payable to Wellspring UMC, memo line VBS.
Required
Scholarship Opportunities
If you are financially, or otherwise, in need of a VBS registration scholarship for your children, please contact Rodnei youth@wellumc.org or 512-930-5959 to discuss opportunities. Limited number are available. Please check below if you are in need.
Authorization of Emergency Medical Attention Signature *
My signature verifies that if I cannot be reached to arrange emergency medical attention at the time of illness or accident, I hereby authorize the Wellspring UMC staff to take my child to the nearest hospital. I give consent for necessary emergency treatment when my child is in the care of this hospital and/or physician.
Your answer
Name of Physician and Phone Number *
Please list the name of physician you authorize in regards to the above authorization statement.
Your answer
Name of Hospital and Phone Number *
Please list the name of hospital you authorize in regards to the above authorization statement.
Your answer
Photo Release Waiver *
Please fill out and check the appropriate statement to either grant or decline permission to use pictures of your child on the church website and/or for other church publicity. With regard to the use of photos on our website, it is the policy of Wellspring United Methodist Church that children in photos not be identified by name. By checking below, I acknowledge that I grant/do not grant permission for Wellspring UMC to publish pictures of my children named above on the church’s website or in the church’s press releases, the directory, bulletins or other publicity information. I further state that I have the right to give this permission as I am the child’s parent or legal guardian. I understand that if I give notice to the Family Ministry Director that I object to any particular picture on the website, it will be removed as soon as possible.
Photo Release Signature *
Please sign below to verify your above agreement to GRANT or NOT GRANT permission of your child's photo to be taken and used.
Your answer
Date Registered and Signed *
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Time
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