Register for VBS

Family Information

Address

Primary Phone

Relationship to Student Father Mother Grandfather Grandmother Great-grandfather Great-grandmother Brother Sister Uncle Aunt Guardian Foster Parent Granduncle Grandaunt Other

Phone Number

Student Information

Gender

Birth Date

Age Group

Food Allergies

Details

Medical Concerns

Details

By clicking, I agree that I have read the Details of Photo/Video Permission Details of Photo/Video Permission: By selecting “I DO give permission” means that I understand that the volunteers and employees of New Underwood Community Church will photograph or video record myself and the child being registered during Vacation Bible School activities. I understand that these images or videos may be used in the following: Church publications (e.g., brochures, newsletters, flyers) Church websites and social media Promotional materials (e.g., posters, banners) Other media outlets related to the church’s ministry I understand that the images or videos may be edited and that the church will retain ownership of the media. By selecting “I DO NOT give permission” means that I understand that the volunteers and employees of New Underwood Community Church will photograph or video record myself and/or the child being registered during Vacation Bible School activities, BUT that the volunteers and employees will make their best effort to cover the faces and names of myself and/or the registered child(ren) in the photos/videos that myself and/or registered child(ren) are visible in. Details of Photo/Video Permission

Photo/Video Permission Selection

I have more students to register