Virtual VBS

Student First Name

Student Last Name

Birthdate:

Age:

Member of:
Please ChooseBUMCAnother ChurchNone currently

Last Grade completed:

Parent Email (required)

Guardian:
First Name:

Last Name:

Relationship to Child:

Guardian 2:
First Name:

Last Name:

Relationship to Child:

Home Address:

City:

State:

Zip Code:

Home Phone:

Cell Phone:

Do you have Internet at home? Please ChooseYesNo
Do you want a CD/DVD with the skits and other information normally available over the Internet?Please ChooseYesNo
Would you like to receive a VBS Kit including craft supplies, snack recipes, and game ideas?Please ChooseYesNo
If YES, how would you like to receive your kit? Please ChoosePick Up @ BUMC(Limited Area) Delivery
If your child has completed the 2nd, 3rd, 4th, 5th or 6th grade, would they be interested in a Zoom experience (Internet required) discussing a Bible story? Please ChooseYesNo
I Agree to allow my child’s picture to be included in VBS publications. Please ChooseYesNo