Marion United Methodist Church

Your Child's Name (required)

Grade Entering(required)

Age (required)

Parent or Guardian Name (required)

Your Email (required)

Address

Phone (Home)

Phone (Cell #1)

Phone (Cell #2)

Emergency Contact #1 Name (required)

Emergency Contact Phone (required)

Emergency Contact Relationship (required)

Name(s) of persons who may pick your child up from VBS (required)

Allergies, Medical Information, or Other Important Information

We are ordering T-Shirts at a cost of $12.00 per shirt. Please indicate if you would like to order a t-shirt, AND what size (S, M, L, XL, XXL, adult or child).