FUMC Hillsboro - VBS Registration 2018
Register One Child per Form. It just makes everything easier for administration.
Child's Name:
*
First Name
Last Name
Age:
*
1
2
3
4
5
6
7
8
9
10
11
12
Sex:
*
Male
Female
Grade Entering:
*
Nursery (0-2)
Preschool (3K-4K)
Kindergarten
First
Second
Third
Fourth
Fifth
T-Shirt Size:
*
Youth X-Small
Youth Small
Youth Medium
Youth Large
X-Small
Small
Medium
Large
Allergies:
Additional Needs:
Do you allow photos of your child to be used in church media and promotion?
*
Yes
No
Primary Parent/Guardian Name:
*
First Name
Last Name
Primary Parent/Guardian Phone Number:
*
-
Area Code
Phone Number
Primary Parent/Guardian Email:
*
Primary Parent/Guardian Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Church Affiliation:
*
First United Methodist Church - Hillsboro
Another church
Seeking a church home
May First United Methodist Church - Hillsboro send you church information via email?
*
Yes
No
Emergency Contact (Other Than Primary Parent/Guardian):
*
First Name
Last Name
Emergency Contact Phone:
*
-
Area Code
Phone Number
Is the Primary Parent/Guardian Picking Up the Student?
Yes
No
Emergency Contact will pick up student
Person Responsible for Picking Up the Student:
*
First Name
Last Name
Phone Number of Person Responsible for Picking Up the Student:
*
-
Area Code
Phone Number
Submit
Should be Empty:
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