2022 VBS Registration

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Please fill out this form for each child that you would like to register for VBS. Every child who pre-registers will receive a t-shirt!

VBS will be each evening from 6-8 PM, beginning Monday, July 18 - Friday, July 22.
Monday @ Trinity UMC
Tuesday @ Rockville UMC
Wednesday @ Church of God
Thursday @ River of Life in Rockville
Friday @ Christian Church

We look forward to seeing you there!

Email *

Child Name *

Child Age

Child Birthdate *

YYYY

Grade Just Completed

Child Allergies/Health Conditions *

If your child has any allergies or health conditions that we should know about, please list under the "Other" section. If not, please select "Not Applicable."

Not Applicable

Other:

Child T-Shirt Size

Youth sizes: S, M, L -- Indicate "Other" and type in size if adult size needed. Shirt sizes are limited, but we will do our best to give your child a shirt as close to the size indicated.

Other:

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Parent/Guardian Names *

Address

Home and Cell Numbers (for Emergency Contact) *

Liability Statements *

I verify that I am this child's parent/legal guardian.

I give permission for my child's pictures to be used for promotional purposes and to be posted on the church Facebook website.

In the unlikely event of accidents or an emergency, I understand that necessary arrangements will be made and that I must assume financial responsibility.

Required

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