VBS Registration

June 19-23, 9:00 AM - Noon
@ Saron UCC (440 1st St. NE)
Joint VBS of Linton First United Methodist Church & Saron United Church of Christ in Linton

* Indicates required field

Child's Name *

First

Last

Gender *

Male Female

Child's Age *

Child's Date of Birth *

Last School Grade Completed *

Child's T-Shirt Size *

Name of Parent(s) *

Street Address *

Home Phone Number *

Parent/Caregivers Cell Phone Number *

Email *

Home Church *

Does your child need transportation from daycare to VBS *

Please List Any Allergies or Medical Conditions *

In Case of Emergency, Contact *

Phone Number for Emergency Contact *

May we take pictures of your child(ren) at VBS to be shared in worship and church social media sites? (Click ONLY to opt out) *

Relationship to Child *