2021 Vacation Bible School Registration

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VBS is for kids age 4 through kids who have completed the 7th grade. Kids who have completed 8th grade and up may choose to participate or serve as volunteers. 3 Year olds are welcome with an adult chaperone.

Email *

Since you're registering your child before 6/14, your child gets a free t-shirt! Please select their size below. *

Kids Extra Small (2-4)

Kids Small (6-8)

Kids Medium (10-12)

Kids Large (14-16)

Youth Extra Large

Adult Small

Adult Medium

Adult Large

Adult Extra Large

Child's Name *

Please write your child's first and last name here.

Child's Address *

Please write the address of your child's primary residence (ex. 1941 Macedonia Church Road, White Post VA)

Child's ZIP Code *

Please write the ZIP Code of your child's primary address.

Parent/Guardian Name (1) *

Parent/Guardian Phone Number (1) *

Parent/Guardian Name (2)

Parent/Guardian Phone Number (2)

Child's Age

What grade has your child just completed?

If your child is 3 years old, please give the name of the adult chaperone that will be with your child.

Emergency Contact Name *

Please give the name of your child's emergency contact. This can be the same name as a parent or guardian listed above.

Emergency Contact Phone Number *

Please give the phone number of your child's emergency contact. This can be the same as a parent or guardian listed above.

Names and grades of siblings attending VBS

If you are enrolling multiple children of the same family in VBS, please list the siblings of your child and their grades here. (ex., John Smith, grade 2)

Please list any allergies or any information that would be helpful for us to know to make VBS a great experience for your child!

Permission and Release of Liability *

A. I give my child permission to participate in Vacation Bible School with Macedonia United Methodist Church on 6/21 – 6/25.

B. I give my permission to any adult chaperone representing Macedonia UMC to act on my behalf if my child is injured or ill and I can not be reached.

C. I have listed all (if any) special conditions concerning my child of which chaperones should be aware in the box above.

Required

Signature *

By typing your name, you hereby hold harmless Macedonia UMC, its staff, members and volunteers and for my heirs, executors, and assigns do release and discharge from all claims, action, demands, and compensation whatsoever which you may have now, or in the future, on account of or in any way growing out of circumstances related to the event as stated above, except for gross negligence. You further declare that the terms of the Release are contractual and not a mere recital.

Do you give Macedonia Church permission to display photos of your child on Facebook?

Yes, you may post pictures of my child on Facebook.

No, please do not post pictures of my child on Facebook.

Clear selection

A copy of your responses will be emailed to the address you provided.

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