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"Roar" VBS Registration


Parent/Guardian: *
Parent/Guardian:
Parent/Guardian Address
Parent/Guardian Address
List your street address.
Parent/Guardian Phone *
Parent/Guardian Phone
Emergency Contact
Emergency Contact
Phone 1 *
Phone 1
Emergency Contact Phone:
In case of emergency, if I cannot be reached by phone, I hereby give consent to Saint Andrew's United Methodist church staff and/or chaperones to seek medical treatment for my child.
I authorize Saint Andrew's United Methodist Church permission to use my child's likeness (photo/video) for the church website and/or social media. Saint Andrew's UMC will not provide names or any other identifying information related to my child.
Child's Name (1) *
Child's Name (1)
List any allergies your child may have.
Child's Name (2)
Child's Name (2)
List any allergies your child may have.
Child's Name (3)
Child's Name (3)
List any allergies your child may have.
Child's Name (4)
Child's Name (4)
List any allergies your child may have.

Note: Each child you plan to bring must be registered by completing this form. REGISTRATION DEADLINE: 9 A.M. AUGUST 12.

All children MUST be signed in and checked out by the parents/guardians listed on the registration form.  Saint Andrew’s United Methodist Church reserves the right to check parent’s/guardian’s driver’s licenses for identification.

Earlier Event: May 4
Indoor Yard Sale
Later Event: September 28
Fall Children's Consignment Sale