Join us for
VBS July 15-18   5:30-8:30
All kids in the community,
ages Pre-K – 5th grade, are invited
Please bring a white t-shirt for each of your children on Monday, the 15th!!
 
 
 
(Please enter the grade that your child is in spring of 2019.)
 

Parent's Information:

Parent's Name or Legal Guardian (required)

Address (required)

City (required)

Cell Phone (required)

Email (required)

The best way to communicate with you is:

Person to call in case of Emergency: (required)

Emergency Phone Number (required)

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Child(ren)s Information:

Name:

Name:

Name

Name

Name

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Any medical conditions we should be aware of, such as allergies, etc? Please specify which child and what we should know.

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I hereby give permission to use my child's/children's photos for any promotional material including the church's website, Facebook page and newspaper.
YesNo
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I would like to receive emails about future children/family events at Wood River UMC.
YesNo
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I would like to receive emails with general information about upcoming activities at Wood River UMC. (2-3 times per month)
YesNo

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MEDICAL TREATMENT RELEASE AND LIABILITY RELEASE

I, the undersigned parent or guardian do hereby grant permission for (child's/children's name) to participate in the Vacation Bible School Activities at the First United Methodist Church in Wood River. I hereby authorize the staff, leaders, and volunteers to obtain and consent to medical treatment for my child in case of injury or illness. I further hereby release and discharge the staff, leaders, and volunteers of the First UMC from any and all debts, judgments, or suits of any kind which may arise or be occasioned as a result of my child’s participation in the VBS Program.

I further acknowledge and understand that by participating in this program, there is a possibility of physical illness or injury and my child is assuming the risk of such illness and injury by his/her participation. It is my understanding that payment of any medical bills will be paid by me or my insurance company.

By entering my name below I agree to the statement above and understand that it is the same as signing a document:

Name:

Date:

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