VBS Basketball Camp 2022

Player's Last Name *

Player's First Name *

Player's Age

Player's Grade (in fall):

Parent's Last Name *

Parent's First Name *

Parent's Cell Phone (Text OK) *

Parent's Email Address *

Email addresses will allow us to send a confirmation email of your student's registration as well as sending information about future Christian Education vents your child might enjoy attending.

1st Emergency Contact Name *

1st Emergency Contact Phone *

2nd Emergency Contact Name *

2nd Emergency Contact Phone *

Allergies or other medical conditions, if none please enter NONE. *

Name of Church Affiliation, if any *

T-Shirt Size *

Children SM 6-8 Med: 10-12 Large 14-16 X Large 18-20

How did you hear of this event? *

• I hereby grant / do not grant (please select one) permission for Aldersgate United Methodist Church to use pictures of my child on their website for information or promotional purposes. *

Grant

Grant for VBS Purposes Only. No Social Media or Promotional Purposes

Do not Grant

To grant permission enter the parent's name as signature *

For Girls and Boys ages Kindergarten-5th Grade