Theme image

Participant Registration

Go Back

Registro en Español

Decatur Methodist Church

Location

701 Oak St NE

Decatur, AL 35601

Map It

Contact Kerri Scroggins:

256-916-2187

kscroggins@decaturmethodistchurch.com

First, Tell Us About Yourself:

Parent Information

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.

Emergency Contact Name

This field is required.

Emergency Contact Relationship

This field is required.

Emergency Contact Phone

This field is required.

Home Church Affiliation

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

T-SHIRTS are $10, and you must pay for them when you pick them up. You may pick them up in the church office or on the first day of VBS. You may pay with cash or with a check written to Decatur Methodist Church.

First Name

This field is required.

Last Name

This field is required.

Grade Leaving

This field is required.

Gender

This field is required.

Date Of Birth

This field is required.

Allergies

This field is required.

Medical Concerns

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.

Friend 3 First Name

This field is required.

Friend 3 Last Name

This field is required.

Comments

This field is required.

Photo Release Form- I grant permission to Decatur Methodist Church, its representatives and employees the right to take photographs of my child/grandchild in connection with Decatur Methodist Church VBS. I authorize Decatur Methodist Church to use my child/grandchild's picture on their website, social media and/or for publicity purposes.

This field is required.

— or —