Asbury United Methodist Church's Vacation Bible School On Line Registration Form
*Child's First Name * indicates required field
*Child's Last Name
Goes By
Sex
* Email Address:
*Verify Email Address
*Address
*City
*State
*Zip
*Date of Birth (MM/DD/YYYY)
*Grade in Fall '08
Will he/she attend Kindergarten in the Fall?
*Responsible Party Name
*Responsible Party Type
If 'Other' for Responsible Party, please describe
Other than yourself, who may pick up your child?
Is Asbury UMC your home church?
Asbury Family Number (from your Family Card)
I am a guest of:
Do you currently have a church home?
If Yes, where?
*T-shirt Size

T-shirts cannot be guaranteed IF NOT PICKED UP by May 23rd. Nursery children (21 months and youger) will receive a bag. If you would like a T-shirt in addition it will be an extra $6.00
If my child has not completed Kindergarten I understand that I must be on site all week in order for my child to attend.
If your child has not completed Kindergarten please indicate the area you are volunteering in:
My child would like to be in a crew with:
(K - 4th Only)
You will be placed in a crew with at least one of the above choices. All requests for crew placement must be made by June 1st.
5.6 Work Area choices     1st 2nd 3rd  
Please have your 5.6 child choose his 1st, 2nd & 3rd choice of work area. If you bring a guest please choose the same area.
Will you need early drop off from 7:00-8:30am?
What days do you need early drop off?




  
My child is allergic to the following foods and medication:
Medical or other information we need to know:
*Home Phone:
Business Phone:
Cell Phone:
Other Phone:
Other Phone Type:



Click the 'Submit' button above to send us your form when it is filled in,
otherwise, your registration will not be received.
There is no need to print this page.
You will receive an email with your printable form filled in with the information you enter above and further instructions, after you hit the 'Submit' button.

Copyright 2008
www.asburyvbs.org