2025 Bothell Kids VBS Registration Form

We look forward to a wonderful week with your child(ren).

Please complete one form per child.

Adult's Information

Adult's Name

This address will receive a confirmation email

You will receive emails about Kids Camp VBS from kids@bothellumc.org. Be sure to update your email preferences so they don't end up in your junk folder. I would also like to receive weekly emails from Bothell Kids @ Bothell UMC with worship resources and ways to engage. I would also like to be added to the Bothell UMC general email list to receive updates about the church and activities.

Phone

May we text to this number?

Yes No

Address

Child's Information

Child's First & Last Name

Preferred pronouns:

She/Her He/Him They/Their Other (please note below)

If other:

Age of Child

Grade this year

Grade next Fall

T-shirt size

Allergies (food, environment, medicine, etc.):

Yes No

If yes, please explain:

Is there anything we should know about your child to ensure a positive experience? Medications they will bring with them? Likes/dislikes?

We want to ensure your child is successful, safe and welcomed, and we want to be prepared to meet their needs. Please explain any support/accommodations they usually need to be happy and successful in school or other group settings. One of our Children's Ministry leaders would be happy to chat with you to learn more about your child.

We celebrate the gifts and talents of children of all abilities. For children who would benefit from having a “buddy” accompany them to our activities, please let us know. Buddies encourage participation as well as offer alternative activities if they are needed (i.e., quiet play, take a walk, etc.) Other accommodations are available as needed.

Is your 6th grader wanting to be a helper instead of a camper? Eplain below their preference to help in art, Bible stories, games, drama, making and serving snacks, and/or being a companion for a younger child? Please complete a volunteer form. Contact the church office at office@bothellumc.org.

Additional Information

Emergency Contact (name, relationship and phone number):

Who is authorized to pick up your child in addition to you and the emergency contact:

Photo & Video Release: I hereby consent to and give my permission to Bothell United Methodist Church to use my child’s picture, voice, and likeness in its programs and activities, including the advertisement and promotion of same.

Yes No

Medical Release: I authorize a church staff or adult leader, in whose care the minor has been entrusted, to consent to any x-rays, anesthetic, medical, surgical, or dental diagnosis or treatment. Also, any hospital care, to be rendered to the minor under the general or special supervision and on the advice of any physician or dentist licensed under the provisions of the Medical Practice Act on the medical staff of a licensed hospital. Whether such diagnosis or treatment is rendered at the office of said physician or at said hospital. I assume responsibility for any expenses incurred and understand that our insurance will be the primary insurance to be used in the event of an emergency. I understand that the church and/or adult ministry leader cannot be held responsible. I understand that the church staff and adult leaders will do everything within their ability to ensure the safety of my child while in their care.

Yes No

Camp is fun for adults too! If you would be willing to be part of the camp community by helping, please contact office@bothellumc.org for the volunteer link. Yes I'm willing to help. No, I cannot help this year.

2025 Bothell Kids VBS Registration Form

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