Chapelwood VBS - Nursery Registration Form

 

VBS 2024 Nursery Registration
 

Nursery Registration is reserved for the children of our VBS volunteers only. If your child is younger than 4 years old on June 1, 2024, and you would like him or her to attend Nursery VBS while you volunteer, please complete and submit the form below. Once your form has been submitted, you will receive confirmation on the screen and via email that your form has been sent to the Children's Ministries office.
 
NOTE: This form is only for the children of our VBS volunteers who are younger than 4 years old by June 1, 2024. You must complete a form for each child you would like to register for Nursery care.

Please enter your information EXACTLY as you want it to appear on your name tag and mailings (please don't use all CAPS or all lowercase).

Child's First Name:    *   Birthdate:   // *
Child's Last Name:    *   Gender:    *
Name of School:    (no abbreviations)
Parent/Guardian:    *
Address:    *
City:    *   Zip Code:    *
Home Phone:    *   Work Phone:  
Cell Phone:    *   Alt. Phone:  
Parent Email Address:     *
 
Member of Chapelwood:   Yes    No  *     Other Church?
Continuing Visitor?        Only Attending VBS?       Want more information about Chapelwood? 
 
Who will pick up?    *   Phone  *(please include anyone who may need to pick up your child)
 
Please place my child with:  (must be in the same age group)
     Note: We will make our best effort to honor your request. Early registration gives us the best chance to honor requests.

  In case of emergency, I give my permission to the sponsoring adults of Chapelwood UMC Vacation Bible School to make all health care decisions for my child that I could make myself, if present. I also release Chapelwood UMC and all persons participating in VBS from any and all liability. I understand that my child may be photographed or videotaped for use in Chapelwood UMC evangelism materials, including our Chapelwood UMC website. My submission of this form signifies my consent.
 
Emergency contact person & phone:  *
 
 
Parent Volunteer Location During VBS:  *
 
 
Medical Information/Intolerances/Allergies   (leave blank if None)
 
Note: Occasionally as space permits, we move our oldest group of 3-year-olds from the nursery program into the Preschool VBS program. To qualify, your child must be 3 years old and MUST be fully potty trained. If your child falls into this category you will be notified one week prior to VBS. Thank you for your cooperation and understanding.
 
 
If your child will be 18 months or younger at the time of VBS, please complete the following section:
 
 
Nap Time:    *        Pacifier:   Yes    No  *
Feeding Time:    *   Bottle Time:    *
 
When my child cries, please:
 
Additional Information:
 
   
 

* indicates a required item

 
For more information, contact Children's Ministries at vbs@chapelwood.org.