Portage Chapel Hill United Methodist » VBS Registration Form

VBS Registration Form

Please complete all fields for each family member attending.

Family Info

Last Name (required)
Address (required)
Phone (required)
Work Phone
Cell Phone
Email (valid email required)
Emergency Contact Person
Relationship to child/youth
Phone
What church do you attend?

Allergies

(especially food allergies) or other conditions which may limit activities for any member of your family:

Family Member 1

Please register all adults & children attending
First Name (required)
Class (required)
Supper
MondayTuesdayWednesdayThursdayI will not be attending supper

Family Member 2

First Name
Class
Supper
MondayTuesdayWednesdayThursday
I will not be attending supper

Family Member 3

First Name
Class
Supper
MondayTuesdayWednesdayThursday
I will not be attending supper

Family Member 4

First Name
Class
Supper
MondayTuesdayWednesdayThursday
I will not be attending supper

Family Member 5

First Name
Class
Supper
MondayTuesdayWednesdayThursday
I will not be attending supper

Family Member 6

First Name
Class
Supper
MondayTuesdayWednesdayThursday
I will not be attending supper

Family Member 7

First Name
Class
Supper
MondayTuesdayWednesdayThursday
I will not be attending supper

I would like to be involved with VBS

help with childrenscenery/set upmeal preparationmeal clean upbe a host family at a supper table
Other ways I'd like to get involved

cforms contact form by delicious:days