Satellite Beach UMC Vacation Bible School: Celebrate the Savior

Who’s this registration for?

First name

Last name

Email address

Address

Date of Birth

Age - as of July 2024

Last Grade Completed

Allergies (environmental or food) and Reaction

Medical Condition(s), if any:

Siblings Participating

Students may only be picked up by individuals listed here. An ID will be required.

Sign students in and out at the west entrance to the Sanctuary.

Name(s) of person(s) who may pick up at dismissal (Must be 18 years old)

Parent/Guardian Name(s)

Phone number(s)

Relationship

Parent/Guardian email address

Name

Phone Number

Is there anything else we need to know about your child, their availability, special requests, etc.?