October 2025 – Kids Fall Carnival VBS Registration October 2025 Kids Fall Carnival VBS Registration This field is hidden when viewing the form1st ChildChild's Name(Required) First Last Gender(Required) Male Female Birth Date(Required) MM slash DD slash YYYY Age(Required)Current Grade(Required)Pre-KKindergarten1st Grade2nd Grade3rd Grade4th Grade5th GradeHome Address(Required) Street Address Address Line 2 City ZIP Code Mailing Address (If different than street address above) Mailing Address Mailing Address (line 2) City ZIP Code Parent/Guardian #1 Name(Required) First Last Parent/Guardian #1 Phone(Required)Parent/Guardian #1 Email(Required) Parent/Guardian #2 Name First Last Parent/Guardian #2 PhoneParent/Guardian #2 Email Alternate Emergency Contact(Required) First Last In event Parent/Guardian #1 and/or #2 can’t be reached.Emergency Contact's Phone(Required)Medical Alerts / Allergies (medical alerts)If multiple children registered, note name of child for each alert listed. NOTE: Neither Connect UMC staff, nor it’s volunteers, are medical personnel. Information is so we are aware for precautionary reasons only.Person responsible for pickup after VBS?(Required)Anything else we should know?Register Additional Child? Yes “Additional Child” assumes same Parent/Guardian, address, Emergency Contact, Pickup Person as first child registered. If different, please register using new form.2nd Child's Name(Required) First Last 2nd Child's Gender(Required) Male Female 2nd Child-Birth Date(Required) MM slash DD slash YYYY 2nd Child's Age(Required)2nd Child-Current Grade(Required)Pre-KKindergarten1st Grade2nd Grade3rd Grade4th Grade5th GradeRegister 3rd Child? Yes “Additional Child” assumes same Parent/Guardian, address, Emergency Contact, Pickup Person as first child registered. If different, please register using new form.3rd Child's Name(Required) First Last 3rd Child's Gender(Required) Male Female 3rd Child-Birth Date(Required) MM slash DD slash YYYY 3rd Child's Age(Required)3rd Child-Current Grade(Required)Pre-KKindergarten1st Grade2nd Grade3rd Grade4th Grade5th GradeRegister 4th Child? Yes “Additional Child” assumes same Parent/Guardian, address, Emergency Contact, Pickup Person as first child registered. If different, please register using new form.4th Child's Name(Required) First Last 4th Child's Gender(Required) Male Female 4th Child-Birth Date(Required) MM slash DD slash YYYY 4th Child's Age(Required)4th Child-Current Grade(Required)Pre-KKindergarten1st Grade2nd Grade3rd Grade4th Grade5th GradeRegistration Deadline NoteOnline registration deadline of October 6th, 2025 requested to help us so we have appropriate staff, materials, food-snacks on hand for all children attending VBS. You may still register after that date. All are welcome!Click "Submit" below to complete registration for Kids Fall Carnival VBS – on October 11th, 2025Please verify all information above is correct before selecting “Submit”. Connect will send followup confirmation of registration to you. If you do not receive confirmation, please send inquiry to info@connectumc.org to confirm.UntitledPost Title
