First United Methodist Church s2

Office Use Only: Age Group: Pre-K K-1st 2nd – 3rd 4th -5th Check_____Cash_____ Amount______Return registration form to: Redlands First United Methodist Church - 1 E. Olive Ave, Redlands, CA 92373

Child’s Name Age Grade in School Check here if you will in August 2016 be a crew leader

Street Address: ______City:______Zip:______

Home telephone: (____)______Email address: ______

Mom’s cell phone (____)______Dad’s cell phone (____)______

Home Church: ______

In case of emergency, contact:

Name ______Relation ______Cell #: ______

Person(s) authorized to pick up my child(ren): ______

Are there special concerns you would like to share with the staff? ______

Name of a special friend your child might like to be with: ______

Circle T-Shirt Size: Child: Sm(6) M(10) L (14) Adult Sm M L XL XXL

Sponsoring churches: First United Methodist, First Presbyterian, University United Methodist Office Use Only: Age Group: Pre-K K-1st 2nd – 3rd 4th -5th Check_____Cash_____ Amount______

I, , give permission for my child,______, Parent’s Name Child’s Name to participate in the Surf Shack Vacation Bible School held at the Redlands First United Methodist Church from June 27 to July 1, 2016.

In case of an emergency, I give the staff of Vacation Bible School permission to make any decisions necessary in regards to the care of my child.

Allergies or other medical conditions: ______

List of medications child is currently taking: ______

Preferred Hospital ______

Doctor’s name ______Phone # ______

Insurance Company ______

Signature______Date ______

Vacation Bible School Talent Release Agreement

I hereby assign and grant to the Redlands First United Methodist Church the right and permission to use and publish the photographs/film/videotapes/electronic representations and/or sound recordings made of me or my child at all Vacation Bible School activities.

Parent/guardian’s signature______Date ______

Second parent/guardian signature______Date ______

For more information, please contact: Liz Foster, Director of Family and Children’s Program Ministries – Redlands First United Methodist Church Office Use Only: Age Group: Pre-K K-1st 2nd – 3rd 4th -5th Check_____Cash_____ [email protected] Redlands First U.M.C. Office (909) 793-2118; [email protected]