Vacation Bible School 2025 Registration

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Child's Name

Child's Preferred Name

Age as of June 1, 2025

Gender

Please select one option.

Male Female

Grade

Please select one option.

Pre-K Kindergarten 1st 2nd 3rd 4th 5th 6th

Allergies to food/medical conditions/other needs we should know about:

Parent/Guardian Information

Parent/Guardian Name

Relationship to Child

Parent/Guardian Email

This address will receive a confirmation email

Parent/Guardian Phone

Mailing Address

Name of Home Church

Are you looking for a church?

Please select all that apply.

My family is looking for a church home and we're interested in hearing from FUMC!

Emergency Contact 1 with Phone Number

Emergency Contact 2 with Phone Number

Name(s) of person(s) and contact information (phone numbers) of who will be responsible for pick-up after VBS:

I give permission for FUMC to administer medical care in the event that a guardian or emergency contact cannot be reached.

Please select one option.

I agree. I disagree.

Please select below whether or not you agree to grant permission to FUMC Stephenville to use the image of your child (listed above) in various media for the promotion of church related events. In any case, no child's name or identifying information will be used.

Please select one option.

I grant permission. I DO NOT grant permission.

Please indicate which forms of media you will allow your child's image to be used in:

Please select all that apply.

Church Website (www.fumcstephenville.org) Church Facebook Page Church Print publications None

Description

Please fill out this form and click submit.

Vacation Bible School 2025 Registration

Description

Please Fix the Following