Parent  Information

Parent's / Guardian's Names

Would you Consider Being a Helper or Teacher ?

(For safety reasons, all children must be picked up inside)
Person Picking Up Child

Child Information

One child per form. Thanks. ;-)

First Name   Last Name

Male   or   Female      Your Phone #

    Your Street Address & Number  

Apartment # Your City   Your Zip Code

E-mail Address

Do you need transportation to the church from a home or daycare? Yes  No

(If you answered No to Transportation, skip the next box)
Where will we pick up your child?  Home Daycare Other
If you answered Daycare or other, please give details and address:

Allergies or Physical Limitations? (explain))

The Days You Plan to Attend: 

Monday Tuesday Wed Thurs
(Check as many days as you are going to attend)

Tee Shirt Sizes and Quantities

Select your sizes then enter the quantities
for each shirt size. Vacation Bible School T-shirts (optional) are $10 each. Payment is due when ordered; last day to order June 14th. Adult, youth and children are invited to order. Multiples are allowed.
 

IMPORTANT: Payment is due when ordered. Last day to order is June 14.

If yopu are ordering a T-shirt on-line, please bring your payment within 24 to 48 hours if possible.
 

Child Age Information

Your Date of Birth (mm/dd/yyyy)

The grade you are entering Fall 2006:   K 1  2 3 4  5
                                                      (Click only one)
 

Emergency Contact Information (other than parent)

Name
Relationship
Phone #

Volunteer Information
(skip if you are not a volunteer)

Youth Helper   Adult Helper

Volunteer Notes:

Surfer Group:     

Questionnaire

Do You Attend A Church?   Yes No

Name of Your Church?

Are You a Member?   Yes No

How did you hear about FUMC VBS?
(Select One)                  

From a Friend  From a Teacher  Sunday School  At the Church  My Parents  Other
 

The person who invited you
 

Would You Like More Information About Our Church?  Yes No

Our Children's Programs?  Yes No