FUMC- VBS 2019
Please make sure to fill out a form for each child attending.  
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Email *
Child's first name *
Child's last name *
Age at time of VBS *
Parents names (first & last)
Home address:
Emergency contact (name and number) & relationship to child. *
Please list any food allergies.
Please list any medical conditions.
Siblings attending VBS. (name and age)
Siblings attending VBS (name and age)
Church affiliation. If none, please include your email to be added to our events communication.  
Person who make pick up your child. (Name and Number)
Person who make pick up your child. (Name and Number)
Medical Release. I give members of FUMC Lincolnton permission to obtain medical attention in case of sickness or injury to my child(ren) attending Vacation Bible School.  I , the undersigned, do hereby verify the above information is correct and I do hereby release and forever discharge all sponsors and FUMC Lincolnton from any and all claims, demands, actions or causes of action, past, present or future arising out of any damage or injury while participating in Vacation Bible School 2019. Please type to sign your name below.   *
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