vbs 2016 registration form
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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!