Child's Name Parent NameAddressEmail AddressPhone NumberSecondary Phone NumberDate of BirthLast School Grade CompletedHome Church (if any)Friends of your child at this churchSpecial Needs/Allergies/Medical Information/OtherEmergency ContactsWho 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