VBS Registration | Thalia United Methodist Church

VBS REGISTRATION FORM

Child's Information
Child's Name*
First Last
Age*
Last Grade Completed*
Does your child have any food allergies?*
- No
- Yes
Please tell us more about your child's food allergies...
Does your child have any medical conditions?*
- No
- Yes
Please tell us more about your child's medical condition...
Parent/Guardian Information
Name*
First Last
Email Address*
Phone*
Emergency Contact
Name*
First Last
Relationship to Child*
Phone*
Additional Information
Would you like to purchase a music CD for $5.00?*
- No
- Yes
I consent to the use of my child’s photograph by Thalia UMC for the purpose of promoting Thalia UMC. This includes Thalia UMC publications and website.*
- No, I do not consent
- Yes, I do consent
Comments
This field is for validation purposes and should be left unchanged.

Child's Information