VBS Registration

Please fill out this form for the child/youth, who will participate in VBS at Monticello UMC. Complete a separate form for each person.

* Indicates required field

Participant Name *

First

Last

Gender *

Age *

Child or Youth Date of Birth *

Last Grade Completed *

Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent/Guardian Cell Phone Number *

Other Phone Number *

Parent/Guardian Email *

Home Church (if any) *

Friends of your child at Monticello *

Allergies/Medical Information/Special Needs *

Emergency Contact(s) (besides parent or guardian)

Name/Phone # *

Name of person(s) who may pick up this child or youth from VBS *

Inflatables Permission (My child/youth may participate in inflatables at Monticello VBS.) *

Yes No

Media Release *

Yes No

**Monticello UMC has my permission to use my child's photograph publicly in VBS materials. I understand the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensation will become payable to me by reason of such use.

Parent/Guardian Name *

Submit

Please fill out this form for the child/youth, who will participate in VBS at Monticello UMC. Complete a separate form for each person.

Worship

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