8/18/2019 VBS 2016 Registration Form

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Trinity United Methodist Church Vacation Bible School 2016  

K4 – 6th Grade

FRIDAY, JUNE 3rd6:00 p.m. – 8:30 p.m.

SATURDAY, JUNE 4th

8:30 a.m. – 2:30 p.m.

$10.00 REGISTRATION FEE PER CHILD

(Registration Deadline MAY 15 TH  )

Child’s Name: _____________________________________ School Grade Fall 2016: _______________

 Address: _________________________________________________________________________________

City, State, Zip: ___________________________________________________________________________

Parent/Guardian Name: ____________________________________________________________________

Home/Cell Phone: _________________________________________________________________________Email Address: ____________________________________________________________________________

Emergency Contact: _______________________________________________________________________

Please complete the following to provide VBS volunteers the background needed to administer

appropriate care. Allergies: List all known. Describe reaction and management of the reaction.

 ____________________________________________________________________________________________

 ____________________________________________________________________________________________

 Any other medical condition(s): ______________________________________________________________

 ____________________________________________________________________________________________

T-shirt Size:  Youth  XS (4) S (6-8) M (10-12) L (14-16) XL (18-20)

 Adult  S M L XL 2XL 3XL 4XL

Would you prefer VBS Music provided on:   CD   MP3 file by email

I grant permission to use pictures of my child for informational or promotional purposes:

(please choose one)  YES  NO

Please select any of the following you may be interested in:

  Helping at the event   Provide an item on the lunch/snack menu

  Other ___________________________________________________________________________________

I, the parent of the above named child, hereby give my approval to his/her participation in any or all

 VBS activities during the dates listed above. I assume all risks and hazardous incidents to such

participation. I do hereby wave, release, absolve, indemnify, and agree to hold harmless Trinity

United Methodist Church, its organizers, supervisors, participants, or any claim arising out of injury to

my son/daughter.

Parent/Guardian Signature  ______________________________________ Date  _________________

PLEASE RETURN REGISTRATION FORMS BY MAY 15TH TO ENSURE YOUR CHILD

WILL GET A T-SHIRT, AND WE CAN PLAN FOR THE NECESSARY MATERIALS. THANK YOU!