2017 VBS Registration Form
Please answer all required questions marked by a red *.
If no response, please enter None or NA.
Child's Name:*
Boy or Girl*
 Boy
 Girl
Age:*
Grade next year:*
Name of Parent/Guardian:*
Address:*
Contact Phone Number:*
eMail Address:*
Home Church:*
Special Needs/Requests:*
Allergies:*
Names of Friends/Siblings to be together:*
Family Member Working at VBS?
 Yes
 No
Emergency Contact Name:*
Emergency Contact Phone Number:*
Relationship to Child:*
The Lowell First United Methodist Church has my permission to use my child's picture on Facebook, church's newsletter and church's website.*
 No
 Facebook
 Church website
 Church's newsletter (telechristian)
 all of the above


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