VBS Registration Form

Child's Name

Parent/Guardian/Family Name(s)

This address will receive a confirmation email

Phone

Address

Date of Birth

Age

Last school grade completed (2023-2024 School Year)

Gender

Female Male Non-Binary

Home Church (if any)

Friends of your child at this church

Special Needs/Allergies/Medical Information/Other

Emergency Contacts

Name

Phone

Name

Phone

Name(s) of person(s) who may pick up this child from VBS

Parent/Guardian Permission

Photo Release: Lovely Lane UMC has my permission to use my child's photograph publicly in church materials. I understand the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.

*By entering my name in the box below, I am providing my digital signature on this Form.

Parent/Guardian's Electronic Signature*

Date

Description

Please fill out this form and click submit.

VBS Registration Form

Description

Please Fix the Following