Contact VBS Student Registration Please fill out the form to register your child for VBS. If you have more than one child, please indicate that in the field for special instructions. Student's Name * Student's Name First First Last Last Parent/Family/Guardian Name * Parent/Family/Guardian Name First Name First Name Last Name Last Name Address * Email * Home Phone * Cell Phone * Work Phone Date of Birth (dd/mm/yyyy) * Last school grade completed Home Church (if any) Friends of your child at this church Special needs/allergies/medical information/other: Emergency Contact #1 * Emergency Contact #1 First Name First Name Last Name Last Name Phone * Emergency Contact #2 * Emergency Contact #2 First Name First Name Last Name Last Name Phone * Names of person(s) who may pick up this child from VBS * Photo Release: Holmes Street UMC VBS as 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. Type your name below to serve as a signature. Type your full name here to serve as a signature. Date (dd/mm/yyyy) Captcha Submit If you are human, leave this field blank. Holmes Street UMC 501 Holmes Ave. NE Huntsville, Alabama 35801 Phone: 256-534-8865