VBS2025 Registration | Marshfield UMC

2025 VBS Registration

Student's Name

Parent/Guardian Name

T Shirt Size

Address

Preferred Phone

Student's Birthday

Month

Day

Year

Last grade student completed

Does this student have any friends at the church with whom they'd like to be placed in groups? If so, please list here.

Does your child have any special needs/allergies/medical information of which we need to be aware to ensure they have a safe, fun time?

Emergency contact name

Emergency Contact Phone

Name(s) of person(s) who may pick this child up from VBS?

Photo Release: Marshfield UMC/VBS has permission to use my child's photo in VBS materials, in print and/or online. My child will not be identified by name and no compensation shall become payable to me by reason of such use.

Yes

Signature: Typing your name here serves as your signature for this registration.