<p> 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 </p><p>Child’s Name Age Grade in School Check here if you will in August 2016 be a crew leader</p><p>Street Address: ______City:______Zip:______</p><p>Home telephone: (____)______Email address: ______</p><p>Mom’s cell phone (____)______Dad’s cell phone (____)______</p><p>Home Church: ______</p><p>In case of emergency, contact:</p><p>Name ______Relation ______Cell #: ______</p><p>Person(s) authorized to pick up my child(ren): ______</p><p>Are there special concerns you would like to share with the staff? ______</p><p>Name of a special friend your child might like to be with: ______</p><p>Circle T-Shirt Size: Child: Sm(6) M(10) L (14) Adult Sm M L XL XXL</p><p>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______</p><p>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.</p><p>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. </p><p>Allergies or other medical conditions: ______</p><p>List of medications child is currently taking: ______</p><p>Preferred Hospital ______</p><p>Doctor’s name ______Phone # ______</p><p>Insurance Company ______</p><p>Signature______Date ______</p><p>Vacation Bible School Talent Release Agreement</p><p>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.</p><p>Parent/guardian’s signature______Date ______</p><p>Second parent/guardian signature______Date ______</p><p>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]</p>