Registration

Student's First and Last Name

Grade Completed

Parent/Guardian First and Last Name

Phone

Address

How many in your family plan to eat supper at V.B.S.? If you are registering more than one child, you only need to answer this once.

Birthday (month, day, and year)

Please list any food allergies and any other special considerations.

St. Paul's U.M.C. has my permission to use my child’s photograph publicly to promote the VBS youth program and related activities. I understand that 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. I agree that I will not hold St. Paul's United Methodist Church or any of its staff or volunteers liable for any injury that may occur during Vacation Bible School.

I agree to the terms & conditions

Thanks for submitting!