VBS REGISTRATION FORM


Child's Name Parent Name Address Email Address Phone Number Secondary Phone Number Date of Birth Last School Grade Completed Home Church (if any) Friends of your child at this church Special Needs/Allergies/Medical Information/Other Emergency Contacts Who may pick up your child
Photo Release - Please check one
Hemphill First Methodist Church has my permission to use my child’s photograph publicly in VBS 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.
Hemphill First Methodist Church DOES NOT has my permission to use my child’s photograph publicly in VBS 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.
Are family members helping with VBS? If so, who is helping and in what area? Submit