VBS Registration Form for 2021 for Bucyrus United Methodist Church

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Vacation Bible School will be held at the Bucyrus UMC Worship Center on Wednesdays starting June 16, 2021, through July 14, 2021. A snack supper will start at 5:30 p.m. with VBS being from 6:00 p.m. to 8:00 p.m. Please complete the form below for each child that you would like to register. Please call the church office at 419-562-5061 if you have any questions.

Parent/Family/Guardian Name *

Address *

Home Phone Number *

Cell Phone *

Work Phone *

Emergency Contact Name #1 *

Emergency Contact Phone #1 *

Emergency Contact Name #2 *

Emergency Contact Phone #2 *

Home Church (if any)

Photo Release: Bucyrus UMC 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. *

Yes - Permission Granted

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