VBS Child Registration

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Parent/Guardian Information

Parent/Guardian Name

First Name

Last Name

Phone

(###)

###

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Address

Child Information

Child Name

First Name

Last Name

Grade (as of Fall 2025)

Birthday

Gender

Is there a special friend in the SAME GRADE/AGE LEVEL your child would like to be with?

We will do our best to pair your child and their special friend together but groupings are not guaranteed.

Does your child have any medical or food allergies? If yes, please explain.

Help us be prepared! Please let us know of any special needs that will allow us to create the best experience for your child at VBS.

Pick Up and Emergency Information

Person responsible for child pick up

Relationship to child

Cell Phone Number

(###)

###

####

Additional Emergency Contact Name (MUST BE AN ADULT WHO ISN'T LISTED ABOVE)

Emergency Contact Cell Phone Number

(###)

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Photo Permission

By checking this box, I understand that my child's image can be used as promotional material for Faith United Methodist Church.