308 Island Ford Rd.
Statesville, NC 28625
(704) 924-8322
monticello_methodist@yahoo.com
We are so excited to have your child be apart of Monticello UMC's VBS.  Please
fill out  an individual form for each child attending the EGYPT VBS.
VBS Sign Up
Child's Name:
Parent/Guardian Name:
Street Address:
City:
State:
ZIP:
Email Address:
Phone Number:
Secondary Phone:
Do you have a Church home?
Child's Birthdate:
Last Grade Completed:
Allergies/Medications:
EMERGENCY CONTACT
Name:
Phone Number:
Relationship to child:
Phone Number:
Name:
Relationship to child:
Person(s) authorized
to pick child up:
My child has permission to travel with Bible School leaders
to participate in service projects(for 4th grade and up):
My child has permission to participate in the inflatable recreation at VBS:
I give permission for my child to be photographed for the purpose of
promotion:
I understand by selecting the boxes above, I am granting my permission for the previously mentioned things.
(The name below will be considered a digital signature.)
Name:
Date:
Please join us for our
EGYPT VBS at Monticello
UMC
July 31- Aug. 4, 2016 from
5:30pm until 8:30pm for
ages 3 through rising 8th
grade.