Vacation Bible School

COME BACK NEXT YEAR!

WHERE WE WILL HAVE ANOTHER EXCITING VACATION BIBLE SCHOOL ADVENTURE!

For Ages 4 through 5th grade

Alternate Phone Number *

Home Address" *

Phone: *

Child's Name: *

Last Grade Completed *

Age: *

Parent's/ Guardian's Name: *

YOU CAN FILL OUT AN APPLICATION TO ATTEND VBS BELOW.

SUBMIT ONE FOR EACH CHILD.

Name of applicant *

Transportation Needed?

Yes

Emergency Contact Person and Relationship *

Emergency Contact Phone *

Are there any Medical Concerns? *

Family Doctor *

Doctor's Phone Number *

Names and ages of siblings also attending

People who may pick your child/children up *

Church Affiliation/Membership

By checking the box below I show I give permission to the VBS Leaders to photograph/film the minor child listed above in any manner or form for any lawful purpose associated with the VBS program. *

Yes, I agree

Food Allergies *

Yes

Vacation Bible School

Copyright 2017. Lewistown-Trinity UMC. All rights reserved.