Vacation Bible School 2023 Family Registration

Parent/Guardian Information

Parent/Guardian Name (primary)

Address

This address will receive a confirmation email

Primary Phone

Secondary Phone

Parent/Guardian Name

Address

Primary Phone

Secondary Phone

What is your family's home church?

Emergency Contact Information

Emergency Contact Name (first and last)

Emergency Contact Phone

Pick-Up/Drop-Off Information

Camp staff and volunteers will check parent/guardian/other adult identification cards each day at pick up. While this may seem tedious and repetitive, it is a best practice to ensure the safety of all campers. List below adults other than the parents/guardians who are authorized to pick up your child/children. If adults authorized to pick up your child/children changes from the list below, it is the responsibilty of the parents/guardians to inform church staff. We appreciated your support and understanding.

Authorized pick up (first and last name)

Camper Information

First Child's Name (first and last)

Date of Birth/Age

Grade in August 2023

VBS Classroom

Preschool (3-5) Lower Elementary (1st - 3rd) Upper Elementary (4th -6th)

School/Daycare Name

Shirt Size

Youth XS Youth S Youth M Youth L Youth XL Adult S Adult M Adult L Adult XL

Does your child have allergies?

YES NO

Please indicate the allergen/s and describe any known reactions.

Will an epipen be left on site? Yes No

Is there anything else you would like to tell us about your child so that he/she is best supported at VBS?

Second Child's Name (first and last)

Date of Birth/Age

Grade in August 2023

VBS Classroom Preschool (3-5) Lower Elementary (1st - 3rd) Upper Elementary (4th - 6th)

School/Daycare Name

Shirt Size Youth XS Youth S Youth M Youth L Youth XL Adult S Adult M Adult L Adult XL

Does your child have allergies? YES NO

Please indicate the allergen/s and describe any known reactions.

Will an epipen be left on site? Yes No

Is there anything else you would like to tell us about your child so that he/she is best supported at VBS?

Third Child's Name (first and last)

Date of Birth/Age

Grade in August 2023

VBS Classroom Preschool (3-5) Lower Elementary (1st - 3rd) Upper Elementary (4th - 6th)

School/Daycare Name

Shirt Size Youth XS Youth S Youth M Youth L Youth XL Adult S Adult M Adult L Adult XL

Does your child have allergies? YES NO

Please indicate the allergen/s and describe any known reactions.

Will an epipen be left on site? Yes No

Is there anything else you would like to tell us about your child so that he/she is best supported at VBS?

Fourth Child's Name (first and last)

Date of Birth/Age

Grade in August 2023

VBS Classroom Preschool (3-5) Lower Elementary (1st - 3rd) Upper Elementary (4th - 6th)

School/Daycare Name

Shirt Size Youth XS Youth S Youth M Youth L Youth XL Adult S Adult M Adult L Adult XL

Does your child have allergies? YES NO

Please indicate the allergen/s and describe any known reactions.

Will an epipen be left on site? Yes No

Is there anything else you would like to tell us about your child so that he/she is best supported at VBS?

VOLUNTEER INFORMATION

I would like to volunteer for VBS in the following area:

Family Ministry - guide, assistant guide, music teacher, art teacher, STEM teacher Guest Services - snacks, reception, volunteer lunch The Foundry - prayer for VBS Creative Arts - decorations Administration - technology and photography I am not able to volunteer for VBS at this time.

HANDBOOK ACKOWLEDGEMENT

As the primary parent/guardian of the child/children registered on this form for VBS, I have read the South Reno UMC VBS Family Handbook.

Check to accept

MEDICAL RELEASE

The submittal of this VBS electronic registration confirms that I understand all reasonable safety precautions will be taken at all times during VBS events to protect my child/children. I understand the possibility of unforeseen hazards and the inherent possibility of injury. I understand that in the event that medical intervention is needed for my child/children, minor first aid will be administered onsite. In the event of a major medical situation, every attempt will be made to immediately contact the persons listed on this form. In the event that they cannot be reached in an emergency, I hereby give my permission to South Reno UMC to call 911 and request emergency services.

Check to accept

LIABILITY RELEASE

By submitting this electronic VBS form, I agree to hold South Reno UMC, its leaders, employees, and volunteers harmless from any damages, losses, diseases, or injuries incurred by my child/children, and for photos of my child participating in South Reno UMC activities, that are not taken or released by South Reno UMC staff and/or volunteers.

Check to accept

MEDIA RELEASE

Your child/children will be photographed while participating in VBS. Any photos taken by South Reno will only be used to promote VBS. By submitting this electronic registration for your child/children, you are authorizing South Reno UMC to use VBS pictures on the church website, in church newsletters, on bulletin boards, on church social media sites, or in other church communications to promote VBS. We do not reference children by name or provide specific information about children in photographs. The pictures of VBS will be used to show the various activities of VBS and the way in which children engage in and enjoy those activities.

Check to accept

PAYMENT

The registration fee is $50.00 per child.

Financial aid is available for families upon request. Please email familyministry@southrenoumc.org to request tuition assistance.

CHECK ALL THAT APPLY We are a SRUMC Preschool family. We are not able to submit payment at this time and will be emailing familyministry@southrenoumc.org to request financial aid. We will be making a donation to provide financial aid for another family.

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Vacation Bible School 2023 Family Registration

Description

Please Fix the Following