Children Registration Form

I would like to register my child or children for this event (select one):

Vacation Bible School

Parent or Guardian Name:

Street Address:

City:

State: Zip Code:

Contact Phone: Contact email:

I am a (check one): Church Member First Time Visitor Repeat Visitor

Would you like more information about our church? Yes No

Please register all children attending this event:

First Child's Name:

Age: Birth Date: Grade:

Second Child's Name:

Age: Birth Date: Grade:

Third Child's Name:

Age: Birth Date: Grade:

Fourth Child's Name:

Age: Birth Date: Grade:

We at First United Methodist Church wish to protect the identity of the children here at our church. While we would never release name, address, etc., to the public, we often use candid pictures to depict activities here at the church. Therefore, please indicate below if you agree with the release of your child's picture to be used for church publications and church website.

Yes, you may use my child's picture for church publications and the church website.

No, you may not use my child's picture for church publications and the church website.