2019 One Student VBS Registration Form ~ River of Living Water UMC
Vacation Bible School Theme: "To Mars and Beyond" ~ Explore Where God's Power Can Take You!
Date: June 17–21, 2019;  Time: 5:30 pm – 7:30 pm
Location: 1401 Jones Dairy Road, Jasper, Alabama

     USE THE MULTIPLE STUDENTS FORM FOR HOUSEHOLD WITH MORE THAN ONE CHILD REGISTERING
Sign in to Google to save your progress. Learn more
Email *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Address   *
Primary contact number *
Cell number
Home number
Work
I would like to receive
Emergency Contact: Name & phone number *
Names & phone numbers of persons who may pick up child/children from VBS *
PLEASE COMPLETE
Information on child you are registering.
Student's First & Last Name *
Student's Date of Birth *
MM
/
DD
/
YYYY
Student's Age *
School grade in fall of 2019 *
Allergies/Medical Information/Other
River of Living Water UM Church/VBS has my permission to use my child’s photograph publicly in VBS materials such as print publications, presentations and online publications. *
PLEASE BE SURE TO SUBMIT FORM
Need more information? Please call church office at 205-387-7603  or email contact@riveroflivingwaterumc.org
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of River of Living Water United Methodist Church. Report Abuse
Google Forms