Holywood Productions Registration

Theater Camp - Little Prairie UMC VBS
Holywood Productions
Parables In Action

VBS 2024

Sunday July 28 - Thursday Aug 1
5:30pm-8pm
Dinner at 5:30pm

CHILD 1

Child 1 Name

First

Last

Date of birth

Age

T-shirt size

Last school year completed

Special Needs/Allergies/Medical Information/Other

Friends of your child attending VBS

CHILD 2

Child 2 Name

First

Last

Date of birth

Age

Last school year completed

Special Needs/Allergies/Medical Information/Other

Friends of your child attending VBS

T-shirt size

PARENT/FAMILY/GUARDIAN

Parent/Family/Guardian Name

First

Last

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email address

Phone numbers

Phone numbers
	Phone numbers	Item weight

more items

Home church (if any)

EMERGENCY CONTACT

Emergency contact

First

Last

Phone

Name(s) of person(s) who may pick up this child from VBS

Name(s) of person(s) who may pick up this child from VBS
	Name(s) of person(s) who may pick up this child from VBS First Last	Item weight

more items

Parent/Guardian's signature

Sign above

PHOTO RELEASE: Little Prairie Church/VBS has my permission to use my child's photograph publicly in VBS materials. I understand the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.