VBS 2025 – Bethesda Global Methodist

First Name *Parent/Guardian

Last Name *Parent/Guardian

Phone *Parent/Guardian

E-Mail AddressParent/Guardian

Street Address

City

State/Province

ZIP / Postal Code

Are you a member of Bethesda Methodist? *

If you currently have a home church please list it here, otherwise leave blank.

Emergency Contants

Name *

Phone *

Dismissal Person(s)Name(s) of person(s), other than yourself, who may pick up your children from VBS.

Name

Children

First Name

Middle Name

Last Name

Date of Birth

Age

Last school grade completed.

Allergies/Medical Information/Other

Child Shirt Size *