WAFUMC VBS '22 Registration Form

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West Austintown First United Methodist Church
6749 Mahoning Ave, Austintown, OH
"Food Truck Party" Vacation Bible School 2022
June 20-24, 5:30-8pm

Please fill out this form once for each child who will be attending VBS with us.

Child's full name *

your name (Parent/Guardian) *

Email address

Primary Contact number (cell phone preferred) *

Is your primary contact number a cell phone? *

Yes

Alternate Phone number (specify home, cell, or work)

Address *

Child's age *

Last grade this child completed: *

4th grade

3rd grade

2nd grade

first grade

kindergarten

Not in school, but over 3 yrs old and fully potty trained

List any known allergies that this child has.

Home Church (if any)

Emergency Contact (name and cell) *

Alternate Emergency Contact (name and cell)

Name of anyone other than you who is allowed to pick up this child from VBS.

Do you give the church permission to use photographs that include your child's face for publicity (including unnamed photographs in press releases, on social media, or our website)? Any images used will be public and royalty free. *

yes, you may use pictures of my child for your publicity.

no, please do not publish any picture of my child in your publicity.

During VBS, would you be interested in attending an adult Bible study on site? *

Yes

Maybe

Are there any other specific details about your child that we should know? (if not, leave blank.)

Submit

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