Mentor UMC Summer 2022 Registration
Vacation Bible School-June 20-24 9 am to 12 pm
--$15 per kid:  Cash or Check: $15; Visa, MC, Discover, Diners Club, ACH: $16
--parents are encouraged to help; sign up at https://www.signupgenius.com/go/10c0d4cabab29a2fa7-vbslife 

Theatre Arts Camp~July 12-16 AND 19-23 9 am to 12 pm
--CAST registration is CLOSED
--$50 per CREW MEMBER:  Cash or Check: $50; Visa, MC, Discover, Diners Club, ACH: $52
--TAC High School Volunteer ~ FREE

CASH or CHECK Payments mailed/given Tammy Palermo, Mentor UMC, 8600 Mentor Ave., Mentor, OH  44060
ONLINE Payments as indicated at www.mentorumc.org/summer-programs 

If you do NOT receive a confirmation email, your registration did NOT go through.
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Email *
Registration is for (check all that apply): *
Required
Child’s Last Name *
Child’s First Name *
Date of Birth *
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DD
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Gender *
Home Phone Number *
2021-22 Grade in School (the grade JUST completed) *
T-Shirt Size *
Parent's First Name *
Parent's Last Name *
Parent's Email Address *
Home Address *
Parent's Cell Phone Number *
Emergency Contact's First Name (NOT parent already listed) *
Emergency Contact's Last Name (NOT parent already listed) *
Emergency Contact's Cell Phone (NOT parent already listed) *
Any allergies, dietary restrictions, learning concerns, developmental concerns, or other things you would like to share *
If you answered "Yes" above, please elaborate.  This information will only be shared as needed.
Person responsible for pick up *
Pick up person phone number *
Pick up person's relationship to child *
Do you agree to allow photos/videos of your child to be used in church presentation or church promotional materials? *
Required
Do you agree to allow photos of your child to be used online? *
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Do you agree to allow video of your child to be used online? *
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How did you hear about Mentor UMC Summer Programs?
Emergency Waiver~ In the event that reasonable efforts to contact me have been unsuccessful, I hereby give my consent for emergency medical treatment by a certified first aid giver. In the event that additional treatment is needed, the staff of the Emergency Department of the hospital listed below or the closest one to the event location, has my permission to treat my child. *
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Preferred Hospital
Typing your name here constitutes an electronic signature. *
I understand fees still need to be paid to Mentor UMC unless I have requested a scholarship by emailing tpalermo@mentorumc.org. *
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I will be paying by *
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A copy of your responses will be emailed to the address you provided.
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