VBS REGISTRATION FORM 2018 ROLLING RIVER RAMPAGE is for children in Kindergarten through 12th grade Each day is from 5:30 pm to 8:15 pm Please check the day(s) you would like your child to participate ☐ Sunday - June 3, 2018
FREE MEAL! ☐ Yes
☐ Monday - June 4, 2018
Dinner will be served at 5:30 PM. Please arrive on time so that your child will not be rushed to eat. If your child will not be eating with us, please check "No".
☐ Tuesday - June 5, 2018 ☐ Wednesday - June 6, 2018
☐ No
☐ Thursday - June 7, 2018 ☐ Friday - June 8, 2018 (Closing with parents at NEW CUMBERLAND BORO PARK) Please complete a registration form for EACH child attending Child’s Name: _________________________________
Child’s Birthdate: ____________________
Child’s Gender: ☐ Boy
Grade Completed: __________________
☐ Girl
Parent or Guardian’s Name: __________________________________________________________ Address: __________________________________________________________________________ Daytime Phone Number: ______________________ Email Address: __________________________ Emergency Contact / Phone Number: ___________________________________________________ Does your child have any health issues? ☐ Yes ☐ No Please list (ON THE BACK OF THIS FORM) any health problems, allergies (food), or other pertinent information we may need for the protection of your child Does your child have a home church?
☐ Yes
☐ No
I grant permission for my child’s picture/video to be posted on the church’s website or Facebook (no names will be used). ☐ Yes ☐ No I grant permission for my child to participate in Vacation Bible School at Trinity United Methodist Church, New Cumberland PA. ☐ Yes ☐ No Signature of Parent or Guardian Please return to:
VBS Registration Trinity U.M. Church 415 Bridge Street, New Cumberland, PA 17070
OR Register Online starting 5/1/18: www.trinityumnc.com/ministries/kids Any questions please contact the church office at (717) 774-7146 or email
[email protected] Trinity United Methodist Church is a Safe Sanctuary Church
