Virtual VBS – Bethlehem United Methodist Church

Download PDF Registration Form (for printing)

Download PDF interactive form (can be completed on computer)

Student First Name

Student Last Name

Birthdate:

Age:

Member of:

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?
Do you want a CD/DVD with the skits and other information normally available over the Internet?
Would you like to receive a VBS Kit including craft supplies, snack recipes, and game ideas?
If YES, how would you like to receive your kit?
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?
I Agree to allow my child’s picture to be included in VBS publications.