Vacation Bible School Child Registration July 9-13 6:30-8:30pm
Please fill out this form and click submit.
Parent/Guardian Name
*
Email
*
This address will receive a confirmation email
Primary Phone
*
Phone 2
I am interested in volunteering at VBS.
*
Please select one option.
Yes
No
Select Option
Yes
No
Child Name
*
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Date of Birth
*
Grade in the Fall 2017
Sign me and my child up for the free
Please select all that apply.
Yes
No
School
*
Gender
*
Please select one option.
Male
Female
Select Option
Male
Female
Allergies
*
Other special medical needs
*
Emergency Contact Name and Relationship
*
Emergency Contact Phone Number
*
Please list all names and phone numbers of individuals permitted to pick up your child
*
List up to two friends you would like to be with. (We will do our best to accommodate.)
I give Trinity First United Methodist Church permission to photograph my child.
*
Please select all that apply.
Yes
No
FOR PRESCHOOLERS: My child is potty trained.
Please select all that apply.
Yes
No
My child will participate in the nightly dinners from 6:00 - 6:30 PM.
*
Please select all that apply.
Yes
No
The cost is $20/child and a maximum of $40 per family. Scholarships are available--simply register your child and contact the church office. You can make a payment online through the church's website, in the church office, or on the first day of VBS. Online payment is here:
https://www.eservicepayments.com/cgi-bin/Vanco_ver3.vps?appver3=SsKSQ0-nPT_k4RByT8_3XaDPflwm8MJQtyozwoutI17BL2x7zZJOv13wqX7ISAFnPxRX1LohbYGkIN4xb5TBNVWxSrh-743yYGRWOGrxQ2FeuRHmNJ1rM-lJxTnZI8OMIyKjetTN85ByhFVIJRi0Uj9hqD4es_YZzMTHBMjk2YdWOq_6sXHGI9qXjgA4mPAwaiqdRmFXvgrtoYCd5GYQOw==&ver=3
Submit
Description
Please fill out this form and click submit.
×
Please Fix the Following