VBS Registration

Other Important Information

Is there anyone your child shouldn't be released to? *

Any specific person.

Yes

No

If yes, please list name(s)

Does your child have allergies or medical concerns? *

Yes

No

Will your child require medication while at VBS? *

Yes

No

If yes to either question, please explain.

List any allergies or medical concerns that we may need to be aware of. List any medications your child may need while at VBS.

Home church *

None is acceptable.

One friend your child may know at VBS

If dinner was offered for your child on Friday night before VBS from 5:45-6:30pm, would they be interested in attending? *

Yes

No

By selecting this box, you are acknowledging that you have read, understand, and agree to our COVID safety plan. *

I Agree

*** Important ***

Once submitted, you should receive a confirmation email. Please check your Junk/Spam Folder. If you do not receive this, please contact the church office at 812-637-3993 or email us at dhumcevents@gmail.com.