Name *Family/Last name

First Name *First name of first attending child

Age *Age of first attending child

Further childrenone more childtwo more childrenthree more children

Name of parent(s) *Please give the full name of at least one parent

Parent email *

Parent phone number *

Name and phone number of additional emergency contact

Name and phone number of additional person (aside from a parent) who may pick up child(ren) from VBS

Food allergies or other medical concerns

Field Trip permission *

YesNo

I give permission for my child(ren) to go on a field trip (more details to come) under the supervision of the VBS leadership team.

Photo permission *

YesNo

I give permission for my child(ren) to have their photos taken and possibly published in our church newsletter.

Data security declaration *

I agree that the personal data provided by me may be processed automatically by the Evangelical Methodist Church for the above-mentioned purposes. I can revoke this consent at any time without giving reasons by post to Evangelisch-methodistische Kirche, Superintendent, Sechshauser Str. 56/1/9, 1150 Vienna, or by e-mail to office@emk.at, without affecting the lawfulness of the processing carried out on the basis of the consent until revocation.

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