Vacation Bible School 2026~ Fishers of Men
July 28 - July 30 | Please fill out this form and click submit.
Child's Name
*
Child's Birthdate and Age
*
Last Grade Completed
*
Home Church (if any)
*
Allergies/Special Needs/Medical Concerns
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Parent/Guardian Name
*
Parent Guardian Home and Cell Numbers
*
Email
*
This address will receive a confirmation email
Emergency Contact #1 Name and Number
*
Emergency Contact #2 Name and Number
*
Names of Persons Authorized to pick up from VBS
*
Photo Release: Hopewell Methodist Church/VBS has my permission to use my child’s photograph publicly in VBS materials. I understand the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.
*
Photo Authorization
*
Please select one option.
yes
no
Parent Signature and Date
*
Submit
Description
July 28 - July 30
Please fill out this form and click submit.
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