VBS Registration Form 2

VBS Registration Form 2

Avondale UMC VBS registration form Form Preview
  • Vacation Bible School at Avondale United Methodist Church is 9am-noon, June 6-10, 2016. Register now using this form. Please note that VBS is free at Avondale UMC thanks to the generous contributions of our members and friends.

    Vacation Bible School is open to children ages 4-11.

    We look forward to seeing your child on June 6!

    For questions about VBS or any of the ministries to and with children at AVondale, contact Alison Jenkins, ajenkins@avonumc.net, 205-592-3739, x104.


  • ONLY A LEGAL PARENT/GUARDIAN MAY REGISTER A CHILD. If you would like to invite a neighbor or friend, please have his/her parent or guardian complete the registration form.


  • Information in this section is about the child/children who will be participating in the VBS program. You can register up to 5 children using this form. Please e-mail Alison Jenkins (ajenkins@avonumc.net) after you have registered to add additional children to your registration. 

    • Child 2 Information  
    • Child 3 Information  
    • Child 4 Information  
    • Child 5 Information  
    • Collapse Stopper  
    • You may pre-order a VBS t-shirt for your child during the registration process. You will be taken to a PayPal checkout screen to complete your purchase if you choose to pre-order shirts.

      Note that you are not required to order a t-shirt to participate in VBS. Additional t-shirts may be available for purchase during VBS check-in, but sizes and availability may be limited.

    • Total   $ 0.00


    • Enter information about who, in addition to the parent/guardian listed above, should be contacted in the event of an emergency or illness during VBS hours. We will contact the parent/guardian first, then the following individuals in the order they are listed. These individuals will also be permitted to pick up the child in your absence.

    • Emergency Contact 1  
    • Emergency Contact 2  
    • Emergency Contact 3  
    • Collapse Stopper  

    • We require that the parent or guardian of each VBS participant consent to the child's participation in the VBS program. The electronic signature below will be binding as your actual signature. By signing this form you indicate your agreement with the following statements: 

      • I certify that I am the legal parent/guardian of all children named on this form.

      • I hereby give my consent for my minor child/children, named above, to attend and participate in VBS activities sponsored by Avondale United Methodist Church, from June 6, 2016, through June 10, 2016.

      • I authorize an adult, in whose care the minor has been entrusted, to consent to emergency medical treatment to be rendered to the minor under the general or special supervision and advice of any physician licensed under the provisions of the Medical Practice Act on the medical staff of a licensed hospital. I understand, however, that every effort will be made to contact me before any such medical treatment is administered. 

      • I understand that I am liable and agree to pay all costs and expenses incurred in connection with such medical services rendered to the aforementioned minor pursuant to this authorization. 

      • I hereby release Avondale United Methodist Church from any responsibility other than normal supervision and care. In case of an accident, I will not hold Avondale United Methodist Church, or its staff members, management or officers liable unless guilty of gross negligence. 

      • I hereby consent to my child/children being interviewed, photographed, or videotaped by representatives of Avondale United Methodist Church for use in advertising, publicity, or educational activities including, but not limited to, church participation and/or videos, print and television broadcasts, news, and church websites. I hereby waive any claims I may have and release the church and its employees from any liability or claims arising out of such activities.

    • Should be Empty: