VBS 2026 Student Registration Form

Student Information

Name

Address

Age

What grade will your child be going into in the fall?

Pre-K (child must be 3 or older and fully potty trained.) Kindergarten 1st 2nd 3rd 4th 5th 6th

Does your child have any allergies?

Yes No

If yes, please list any allergies below:

Please note: as the theme is Surprise Party, latex balloons will be used in both decorations as well as in activities. Does your child have a latex allergy?

Yes No

Parent/Guardian Information

Parent Name

Phone

This address will receive a confirmation email

Who is authorized to pick up your child each day from VBS? If not the parent or guardian, please list name, number, and relationship to minor:

Photographic Release: As the guardian of said Minor, I grant and convey unto CoutsUMC all right, title, and interest in any and all photographic images and video or audio recordings made by CoutsUMC during the Minor’s engagement with or participation in a CoutsUMC Event. Photo release as stated above covers Church Website and Publications and Social Media postings. (Names will not be used, individuals will not be tagged by church) all right, title, and interest in any and all photographic images and video or audio recordings made by CoutsUMC during the Minor’s engagement with or participation in a Couts UMC Event.

Yes, you may take my child’s photo No, I do not grant permission

VBS 2026 Student Registration Form

Description

Please Fix the Following