Camp Firelight Vacation Bible School 2024 Registration
Faith United Methodist Church, Fox Chapel
261 W Chapel Ridge Rd, Pittsburgh, PA 15238

Please use this form to register your child for VBS.  One form can be used for up to 3 children from a family.
Registered families will be contacted at the end of June regarding optional family participation sessions.
Sign in to Google to save your progress. Learn more
Email *
Friday July 12 - Sunday July 14
Friday July 12:  5:15-5:30 PM Drop-Off,  5:30-8:00 PM VBS (camp dinner provided)

Saturday July 13:  3:00-3:15 PM Drop-Off,  3:15-6:00 PM VBS   
Saturday July 13:  Optional Family Night that children attend with their grown-up/s (family members of all ages invited.).    6:00 PM - ??? Family Night with potluck picnic dinner for all. Come for dinner, VBS, and campfire fun!  ALSO:  Optional Family Camp-out, bring your own camp gear to camp in the church yard or sleep in the fellowship hall

Sunday July 14:  8:00-8:30 AM Drop-Off and Gathering, 8:30 AM Intergenerational Worship (Families invited!), 9:30 AM Final Celebration

*For kids ages 3 (with toilet independence) through rising 6th grade.    (Rising 6th graders and older students interested in volunteering at VBS should complete a separate Youth Mentor registration form--available in May.)

*There is no cost for this free ministry thanks to the generous support of the people of Faith UMC.  There will be mission project families are invited to support.  If you are interested in donating supplies, contact Jme.

*Please reach out to Jme, NextGen Ministries Director,  at jme.willey@faithfoxchapel.org with any questions.
Parent/Guardian name(s) *
Parent/guardian email address/es for VBS communications (additional or different from one submitted at top of form)
Parent/guardian phone number(s), note if a cell, landline, or work number *
Please list two emergency contacts for your child, include name (first and last) and phone number to be used during VBS. *
Please list the adults, including parents/guardians, who are permitted to pick up your child.  We will only release your child to someone whose name is on this list. *
Child 1: Name (first and last) *
Child 1: Grade level for 2024/2025 school year *
Child 1: Health concerns, educational concerns or allergies that we should be aware of.  Please note any food allergies as snacks will be served and environmental allergies as we will be outside.
Child 2: Name (first and last)
Child 2: Grade level for 2024/2025 school year
Child 2: Health concerns, educational concerns or allergies that we should be aware of.  Please note any food allergies as snacks will be served and environmental allergies as we will be outside.
Child 3: Name (first and last)
Child 3: Grade level for 2024/2025 school year
Child 3: Health concerns, educational concerns or allergies that we should be aware of.   Please note any food allergies as snacks will be served or environmental allergies as we will be outside.
Preferred Hospital *
Medical Insurance Carrier
Physician Name and Phone Number
In the event of illness or accident, if the parent or guardian cannot be reached, I authorize the church, or its agents, to transfer my child to the hospital.  My typed signature on this form authorizes church leaders to consent to any emergency diagnosis, examination, treatment or hospital care for my child which is deemed advisable by and is rendered under the supervision of a physician.  I release the church and its agents from responsibility in the case of an accident or illness in connection with any authorized church activities.  I will assume responsibility for all medical expenses incurred on behalf of my child. *
I give my permission for images or recordings of my child/children, captured during regular and special Faith United Methodist Church activities as video, photo or
audio, to be used solely for the purposes of Faith UMC promotional material and publications, and waive any rights of compensation or ownership thereto.  
My typed signature on this form gives my permission for this.  A typed response of NO PICTURES means I do not give consent for images or recordings to be taken or shared.
*
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy