VBS Registration

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