VBS Registration – Sumner United Methodist Church

VBS Registration

Student’s Name:

Parent/Family/Guardian Name:

Address:

E-mail:

Phone Number:

Date of birth:

Age:

Last school grade completed:

Home Church (if any):

Friends of your child at this church:

Special Needs/Allergies/Medical Information/Other:

Emergency Contact 1:

Emergency Contact 2:

Name(s) of person(s) who may pick up this child from VBS: