Registration

Please download, print, and sign the Participation Agreement form, as well as complete the online form below. If you would like a paper copy to fill out, they are available at Grace Community Church, Oakwood Methodist Church, & First United Methodist Church. A donation of $10 per child or $20 per family is suggested.

Participation Agreement

Return the signed Participation Agreement form and donation to Grace Community Church.

518 Center Street, Suite A

PO Box 532

New Ulm, MN 56073

If you are signing up more than one child for VBS and their home addresses are not the same, please fill out a separate form! The deadline for registration is Sunday, July 15th.

VBS Registration Form

Child 1 Name*
First Last
Gender*
- Male
- Female
Grade Completed by June 2018*
Date of Birth*
Child 2 Name
First Last
Gender
- Male
- Female
Grade Completed by June 2018
Date of Birth
Child 3 Name
First Last
Gender
- Male
- Female
Grade Completed by June 2018
Date of Birth
Child 4 Name
First Last
Gender
- Male
- Female
Grade Completed by June 2018
Date of Birth
Address*
If you are signing up more than one child for VBS and their home addresses are not the same, please fill out a separate form!

Street Address Address Line 2 City State ZIP Code
Custodial Parent's or Guardian's Name*
First Last
Custodial Parent's or Guardian's Name
First Last
Home Phone/Cell Phone 1*
Home Phone/Cell Phone 2
Work Phone
Email*
Home Church Name
Home Church Location
City State / Province / Region
This person may pick up my child from VBS
First Last
This person may pick up my child from VBS
First Last
Health Insurance Company*
Health Insurance Group #*
Emergency Contact 1*
First Last
Emergency Contact Phone*
Emergency Contact 2
First Last
Emergency Contact Phone
Activity Restriction/Health Concerns
List any activity restrictions and/or health problems relating to your child, including allergies. Please give a description of any current physical, mental, or psychological conditions requiring medication, treatment, or special restrictions or considerations while at VBS.

Participation Agreement

518 Center Street, Suite A

PO Box 532

New Ulm, MN 56073

VBS Registration Form

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