VBS 2019 Registration with Volunteer Option
 
VBS 2019 Registration with Volunteer Option
For ages 3 years through 5th grade. Child must be completely potty trained.
Parents'/Caregivers' Name  * 
Address  * 
Home Telephone  * 
Your Email Address  * 
What is your home church
In case of emergency, contact  * 
Emergency contact phone  * 
Names of up to 3 people that are permitted to pick up your child (other than listed above)  * 
I would like to purchase  * 
VOLUNTEER SECTION - ONLY COMPLETE IF VOLUNTEERING
I would like to Volunteer ($5.00 discount per child)  * 
Select the following areas where you would be willing to help.
Crew Leader  * 
Other areas where you would be willing to help  * 
If there is another area where you would be willing to help, please type it in.
VBS T-Shirts will be provided to all volunteers to be worn during the week. Please choose your size:  * 
I would like to purchase a second volunteer t-shirt for the week
Childcare is available to volunteers with children under 3. If childcare is needed, please type in the child’s name/age/allergies or health concerns/t-shirt size.
Additional Comments:
REGISTRATION SECTION
Register 1st Child (Please choose discounted registration from drop down if you are volunteering)  * 
1st Child's Last Name  * 
1st Child's First Name  * 
Male or Female  * 
Child's Age  * 
Date of Birth  * 
Grade Completed by June 2019
Allergies or other health concerns
Name of ONE friend (same age/grade) your child might like to be with
T-Shirt Size
Register 2nd Child (Please choose discounted registration from drop down if you are volunteering)  * 
2nd Child's Last Name
2nd Child's First Name
Male or Female
Child's Age
Date of Birth
Grade Completed by June 2019
Allergies or other health concerns
Name of ONE friend (same age/grade) your child might like to be with
T-shirt Size  * 
Register 3rd Child (Please choose discounted registration from drop down if you are volunteering)  * 
3rd Child's Last Name
3rd Child's First Name
Male or Female
Child's Age
Date of Birth
Grade Completed by June 2019
Allergies or other health concerns
Name of ONE friend (same age/grade) your child might like to be with
T-shirt Size  * 
I have read the Medical Release on Dutilh’s Website and agree to the terms.(http://dutilhumc.org/vacation-bible-school)  * 
I have read the Photo Release on Dutilh’s Website and understand that I need to contact the church office to opt out of photos.(http://dutilhumc.org/vacation-bible-school)  * 
We will be contacting you primarily through email. Please provide an active email and add dutilhvbs@gmail.com to your safe senders list.
Total $
 
 
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