Watsontown Unitedmethodistchurch

VBS Registration Form

Watsontown UnitedMethodistChurch

Sunday, July 10th – Thursday, July 14th

6:00pmto 8:30 p.m.

Child’s Name ______

Youth who have completed 8th grade & participated in a confirmation class (or equivalent at their own church) may volunteer to assist with the younger children. Please contact the church for more details.

Age ______Grade Completed June 2016 ______

Address ______

City ______Zip Code ______

Email ______

Parent (guardian)’s name & phone number:

______

Emergency contact name & phone number (other than parent):

______

Allergies or other medical conditions:

______

Church affiliation______

Permission for publicity photo? Yes No

Would you like to volunteer? (Your name and age level you’d like to help)

______

Friend Request (Only one please!) ______Not an option for youth volunteers

Signature of Parent/Guardian______

Mail to:Camy Brungard, Watsontown United MethodistChurch, 1319 8th St. Dr., Watsontown, PA 17777

Each child will need a new white t-shirt by Tuesday the week of VBS. Please have their name on the shirt tag.

VBS Registration Form

Watsontown UnitedMethodistChurch

Sunday, July 10th – Thursday, July 14th

6:00pmto 8:30 p.m.

Child’s Name ______

Age ______Grade Completed June 2016 ______

Address ______

City ______Zip Code ______

Email ______

Parent (Guardian)’s Name & Phone Number:

______

Emergency Contact Name & Phone Number (other than parent):

______

Allergies or other medical conditions:

______

Church affiliation______

Permission for publicity photo? Yes No

Would you like to volunteer? (Your name and age level you’d like to help)

______

Friend Request (Only one please!) ______Not an option for youth volunteers

Signature of Parent/Guardian______

Mail to: Camy Brungard, Watsontown United MethodistChurch, 1319 8th St. Dr., Watsontown, PA 17777

Each child will need a new white t-shirt by Tuesday the week of VBS. Please have their name on the shirt tag.