Vacation Bible School Registration Form

GRACE METHODIST METROPLEX (GMM)
VACATION BIBLE SCHOOL REGISTRATION FORM
June 28 - July 1, 2022
Cost: None

Please complete all information below. Use one form per participant. Classes for: 2 year old-PreK, ages 6-8, ages 9-11, ages12-17 as well as an Adult class.

Parent or Guardian, let us know if you will be attending the Adult Class.
Click submit when finished.

* Indicates required field

Child/ Jr. High/High School Participant Name *

First

Last

Choose One *

Male Female

Date of Birth *

Age *

Grade (just completed) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent Email *

Father Name *

First

Last

Phone Number *

Attending Adult Class *

Yes No

Mother Name *

First

Last

Phone Number *

Attending Adult Class *

Yes No

Emergency Contact Name (other than parent) *

First

Last

Phone Number *

Allergies or other conditions which may limit activity of the participant registered above.. Enter N/A if this does not apply. *

Other important information we need to know about participant registered above *

I give my permission for picture to be taken of the participant registered above during VBS *

Yes No

Submit