Theme image

Participant Registration

Go Back

Registro en Español

Parker United Methodist Church

Location

11805 S Pine Drive

Parker , CO 80134

Map It

Contact Noelle Allison:

303-841-3979

noelle@parkerumc.org

First, Tell Us About Yourself:

Parent Information

Please complete a medical release form for each participant. You can pick up a printed copy in the church office or download the form on the VBS website. Music downloads will be given to all families that are registered and have completed medical release forms while supplies last.

First Name

This field is required.

Last Name

This field is required.

Address 1

This field is required.

Address 2

This field is required.

City

This field is required.

State/Province

This field is required.

ZIP/Postal Code

This field is required.

Country

This field is required.

Contact Phone 1

This field is required.

Contact Phone 2

This field is required.

Text Message Phone

This field is required.

Emergency Contact Name

This field is required.

Emergency Contact Relationship

This field is required.

Emergency Contact Phone

This field is required.

Alternate Pickup Name

This field is required.

Alternate Pickup Phone

This field is required.

Home Church Affiliation

This field is required.

Comments

This field is required.

Click here for your FREE Friends With God Kids Activity Pack

By checking the box you will be emailed your Free Friends With God Kids Activity Pack.

You are also agreeing to receive emails about family resources from Lifetree. You can unsubscribe at any time. We value your privacy. Your information will not be shared with a third party. Lifetree is a division of Group Publishing, the creators of Group VBS and other faith-building resources. Click to learn more about Lifetree.

Tell Us About Your Participant

First Name

This field is required.

Last Name

This field is required.

Grade Entering

This field is required.

Gender

This field is required.

Date Of Birth

This field is required.

Shirt Size

This field is required.

Allergies

This field is required.

Medical Concerns

This field is required.

We have a sensory room (and staff member) designed to provide a calm, focusing, and comforting place for children. Please let us know if your child could benefit from this environment. We are ready to make a welcoming place for all children.

This field is required.

Do you have friends you would like to be placed with? We will do our best to group selected friends together in the same crew, but we cannot promise all requests will be possible.

Friend 1 First Name

This field is required.

Friend 1 Last Name

This field is required.

Friend 2 First Name

This field is required.

Friend 2 Last Name

This field is required.

Comments

This field is required.

— or —