Names, ages and grades of children participating in your household. If you are signing up more than one household, please use one form for each. (ex. Jane, age 9, going into grade 3) *
Your answer
Home Church (if appropriate)
Your answer
Main Contact Person Information
Must be at least 18 years old.
Name *
Your answer
Relation to Child/Children *
Your answer
Phone Number(s) *
Your answer
Address *
Your answer
Email (Optional)
Your answer
Photo Permission
I give Clarkston United Methodist Church permission to use photos and videos of my child and their work in future promotion of Clarkston United Methodist Church ministries. During the Vacation Bible School at Home, participants are encouraged to send photos and videos to be shared.
*
Allergies
Please list all known allergies, including Food and Other. These will be important as we put together snacks and supplies to ensure a safe and fun time for everyone.
Food allergy
Your answer
Other allergies
Your answer
Current medical conditions or learning challenges that VBS staff should know about
Your answer
Restrictions to activities (what cannot be done or needs to be adapted)
Your answer
Some of the supplies that will be sent home will be choking hazards, and therefore geared for kids ages 3 and up. Do you agree to take the necessary precautions to keep all participants safe and to supervise children during all activities? *
We want to make sure that you have all of the supplies that you need. Below is a list of items that are used throughout the week. Please check the ones you need! *
Required
How would you like to receive your supplies and snacks? *
Do you have access to Internet?
Clear selection
How would you like to get your information and instructions? Feel free to pick more than one option. If no other option is selected, the information and instructional videos are available on YouTube and the Clarkston United Methodist Website for your use.
Do you have any additional concerns as we move forward?
Your answer
A copy of your responses will be emailed to the address you provided.