VBP 2022 Registration

Student Information

Name

Address

Age

Shirt Size

Going into what grade?

Medical Concerns/Allergies

Parent/Guardian Information

I, the parent or legal guardian of this child, grant FUMC Marble Falls my permission to use photographs, videos, and audio for any legal use, including but not limited to: publicity, copyright purposes, illustration, advertising, and web content.

Yes No

By submitting this form, I release the church and its staff of all liability that may occur during the scheduled activities at First United Methodist Church of Marble Falls.

Parent/Guardian Name

Parent/Guardian Email

This address will receive a confirmation email

Parent/Guardian Phone

Parent/Guardian Address

Additional Parent/Guardian Information

Additional Guardian Name

Additional Guardian Email

Additional Guardian Phone

Additional Guardian Address

Emergency Contact Information

Emergency Contact Name

Emergency Contact Phone

Emergency Contact Relationship to Child

Primary Care Physician

Pickup Permissions

These people have permission to pick up my child.

Pickup Name 1

Pickup Phone 1

Pickup Name 2

Pickup Phone 2

Pickup Name 3

Pickup Phone 3

Pickup Name 4

Pickup Phone 4

Pickup Name 5

Pickup Name 6

Description

Monday- Friday, June 6-10 | 9AM - 12PM

Please fill out this form to register your child for Vacation Bible Party 2022 and click submit.

VBP 2022 Registration

Description

Please Fix the Following