Vacation Bible School Registration Form

We look forward to working with your child during Vacation Bible School “Camp Firelight”! Come join us Wednesday July 23 through Sunday July 26 for a great week of fun (All children are encouraged to participate in Sunday Worship performance on Sunday July 26 at 11:00am)! Every child must complete a registration form electronically or by hand to register their child for the program. If you have multiple children attending, please fill out a form per child. Every night will start at 6:30PM and end at 8:30PM, except for Sunday please come at 11:00am for worship to see the children perform followed by a hot dog luncheon and games. A small snack will be served each night! There is no cost to participate. Children Age 3 to 18 are invited! (The older youth will have class and assist with story time activities)

Student's Name

First Name

Last Name

Parent/Guardian's Name

First Name

Last Name

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian's Email Address

Home Phone

Cell Phone

Student's Age

Student's Date of Birth

YYYY

Home Church

If you do not have a home church we would love for you to join us on Sundays!

Allergies/Medical Info

Emergency Contact Name

Emergency Contact Phone

I give consent for my child to be included in photos that may be used on the church's website and social media postings

Yes

Hickory Grove United Methodist Church FOLLOW US

5959 Hickory Grove Road

Greensboro, NC 27409

Phone: (336-299-8361)