Valencia United Methodist Church

Parent 1 Name *

First Name

Last Name

Parent 2 Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone *

(###)

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Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone *

(###)

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Child #1 *

First Name

Last Name

Birthdate Child 1 *

MM

DD

YYYY

Child #2

First Name

Last Name

Birthdate Child 2

MM

DD

YYYY

Child #3

First Name

Last Name

Birthdate Child 3

MM

DD

YYYY

Child #4

First Name

Last Name

Birthdate Child 4

MM

DD

YYYY

DAYS/TIMES BEST FOR ME TO HELP ARE: (Mark at least ONE) *

DURING THE SCHOOL DAY AT HOME

WORK WEEK EVENING HOME/DURING CLUBS

WEEKEND DURING THE DAY AT HOME

SPECIAL SKILLS I CAN SHARE: (Mark ALL that apply) *

ELECTRONICS

MUSIC

COOKING

CRAFTING

BAKING

CANDLE-MAKING

BIKING

CARPENTRY

HIKING

GRILLING

CAMPING

ACTING

PHOTOGRAPHY

SEWING

POWER TOOLS

BOWLING

ANIMALS

SAFETY

I AM INTERESTED IN HELPING OUT AT TRUNK-OR-TREAT: (Mark Two or More) *

WEDNESDAY, OCTOBER 23rd 6-7:30 P.M.

DONATE BAKED GOODS

HOST A CAR

RUN A STATION OR GAME BOOTH (1 HR)

RUN CRAFTS (6:30-7:30 P.M.)

ORGANIZE BOOTH VOLUNTEERS

DONATE 300+ PIECES OF CANDY

HELP SET UP/TAKE DOWN

SAFETY DURING EVENT

I CAN HELP IN THE FOLLOWING AREAS: (Mark at least One) *

PLAYGROUND MONITOR (1X/MONTH, 5-6 P.M.)

STORY TIME (1X/MONTH, 5:30-6 P.M.)

DINNER GREETER (1X/MONTH, 5-6 P.M.)

COOK (1X/MONTH, 4-6:30 P.M.)

DINNER SERVER (1X/MONTH, 4:30-6:30 P.M.)

DONATE $20 FOR SUPPLIES

TABLES/CHAIRS AFTER DINNER (20 minutes)

CRAFT PREP CUTTING, GLUING (4X/YEAR)

FUNDRAISER COORDINATOR

GUIDE LUNCHEON SUPPORT

GUIDE APPRECIATION COORDINATOR

NOTICE-FILMING/PHOTOGRAPHY: KidZone Clubs will be filming/photographing at this location through the 2024-2025 year. By attending KidZone Clubs at VUMC, you irrevocably consent to and authorize Kidzone Clubs and VUMC to photograph and make sound recordings of your child and use such photographs and recordings throughout the universe, for any purpose whatsoever in all known and hereafter existing medium and in any language in perpetuity. All such photographs and sound recordings will be the sole property of KidZone Clubs at VUMC. *

I AGREE