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About Us
Mission
Services
Donate Now
Vacation Bible School Talent Camp
The Epworth Foundation
1865 Bruce Randolph Avenue
Denver, CO 80205
Registration Form
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Step
1
of 5
CHILD INFORMATION
Child's Name
*
First
Last
Nickname
Date of Birth
*
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31
YYYY
2026
2025
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2023
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2021
2020
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2018
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2015
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2012
2011
2010
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2008
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1928
1927
1926
1925
1924
1923
1922
1921
1920
Grade
*
Sex
*
Female
Male
ADDITIONAL CHILDREN
2nd Child?
*
Yes
No
2nd Child's Name
*
First
Last
2nd Child's Nickname
2nd Child's Date of Birth
*
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
2nd Child's Grade
*
2nd Child's Sex
*
Female
Male
3rd Child?
*
Yes
No
3rd Child's Name
*
First
Last
3rd Child's Nickname
3rd Child's Date of Birth
*
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
3rd Child's Grade
*
3rd Child's Sex
*
Female
Male
Next
PARENT/GUARDIAN INFORMATION
Parent/Guardian's Name
*
First
Last
Address
*
Address Line 1
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Best Phone #
*
United States
+1
United Kingdom
+44
Afghanistan (افغانستان)
+93
Albania (Shqipëri)
+355
Algeria (الجزائر)
+213
American Samoa
+1
Andorra
+376
Angola
+244
Anguilla
+1
Antigua and Barbuda
+1
Argentina
+54
Armenia (Հայաստան)
+374
Aruba
+297
Ascension Island
+247
Australia
+61
Austria (Österreich)
+43
Azerbaijan (Azərbaycan)
+994
Bahamas
+1
Bahrain (البحرين)
+973
Bangladesh (বাংলাদেশ)
+880
Barbados
+1
Belarus (Беларусь)
+375
Belgium (België)
+32
Belize
+501
Benin (Bénin)
+229
Bermuda
+1
Bhutan (འབྲུག)
+975
Bolivia
+591
Bosnia and Herzegovina (Босна и Херцеговина)
+387
Botswana
+267
Brazil (Brasil)
+55
British Indian Ocean Territory
+246
British Virgin Islands
+1
Brunei
+673
Bulgaria (България)
+359
Burkina Faso
+226
Burundi (Uburundi)
+257
Cambodia (កម្ពុជា)
+855
Cameroon (Cameroun)
+237
Canada
+1
Cape Verde (Kabu Verdi)
+238
Caribbean Netherlands
+599
Cayman Islands
+1
Central African Republic (République centrafricaine)
+236
Chad (Tchad)
+235
Chile
+56
China (中国)
+86
Christmas Island
+61
Cocos (Keeling) Islands
+61
Colombia
+57
Comoros (جزر القمر)
+269
Congo (DRC) (Jamhuri ya Kidemokrasia ya Kongo)
+243
Congo (Republic) (Congo-Brazzaville)
+242
Cook Islands
+682
Costa Rica
+506
Côte d’Ivoire
+225
Croatia (Hrvatska)
+385
Cuba
+53
Curaçao
+599
Cyprus (Κύπρος)
+357
Czech Republic (Česká republika)
+420
Denmark (Danmark)
+45
Djibouti
+253
Dominica
+1
Dominican Republic (República Dominicana)
+1
Ecuador
+593
Egypt (مصر)
+20
El Salvador
+503
Equatorial Guinea (Guinea Ecuatorial)
+240
Eritrea
+291
Estonia (Eesti)
+372
Eswatini
+268
Ethiopia
+251
Falkland Islands (Islas Malvinas)
+500
Faroe Islands (Føroyar)
+298
Fiji
+679
Finland (Suomi)
+358
France
+33
French Guiana (Guyane française)
+594
French Polynesia (Polynésie française)
+689
Gabon
+241
Gambia
+220
Georgia (საქართველო)
+995
Germany (Deutschland)
+49
Ghana (Gaana)
+233
Gibraltar
+350
Greece (Ελλάδα)
+30
Greenland (Kalaallit Nunaat)
+299
Grenada
+1
Guadeloupe
+590
Guam
+1
Guatemala
+502
Guernsey
+44
Guinea (Guinée)
+224
Guinea-Bissau (Guiné Bissau)
+245
Guyana
+592
Haiti
+509
Honduras
+504
Hong Kong (香港)
+852
Hungary (Magyarország)
+36
Iceland (Ísland)
+354
India (भारत)
+91
Indonesia
+62
Iran (ایران)
+98
Iraq (العراق)
+964
Ireland
+353
Isle of Man
+44
Israel (ישראל)
+972
Italy (Italia)
+39
Jamaica
+1
Japan (日本)
+81
Jersey
+44
Jordan (الأردن)
+962
Kazakhstan (Казахстан)
+7
Kenya
+254
Kiribati
+686
Kosovo
+383
Kuwait (الكويت)
+965
Kyrgyzstan (Кыргызстан)
+996
Laos (ລາວ)
+856
Latvia (Latvija)
+371
Lebanon (لبنان)
+961
Lesotho
+266
Liberia
+231
Libya (ليبيا)
+218
Liechtenstein
+423
Lithuania (Lietuva)
+370
Luxembourg
+352
Macau (澳門)
+853
Madagascar (Madagasikara)
+261
Malawi
+265
Malaysia
+60
Maldives
+960
Mali
+223
Malta
+356
Marshall Islands
+692
Martinique
+596
Mauritania (موريتانيا)
+222
Mauritius (Moris)
+230
Mayotte
+262
Mexico (México)
+52
Micronesia
+691
Moldova (Republica Moldova)
+373
Monaco
+377
Mongolia (Монгол)
+976
Montenegro (Crna Gora)
+382
Montserrat
+1
Morocco (المغرب)
+212
Mozambique (Moçambique)
+258
Myanmar (Burma) (မြန်မာ)
+95
Namibia (Namibië)
+264
Nauru
+674
Nepal (नेपाल)
+977
Netherlands (Nederland)
+31
New Caledonia (Nouvelle-Calédonie)
+687
New Zealand
+64
Nicaragua
+505
Niger (Nijar)
+227
Nigeria
+234
Niue
+683
Norfolk Island
+672
North Korea (조선 민주주의 인민 공화국)
+850
North Macedonia (Северна Македонија)
+389
Northern Mariana Islands
+1
Norway (Norge)
+47
Oman (عُمان)
+968
Pakistan (پاکستان)
+92
Palau
+680
Palestine (فلسطين)
+970
Panama (Panamá)
+507
Papua New Guinea
+675
Paraguay
+595
Peru (Perú)
+51
Philippines
+63
Poland (Polska)
+48
Portugal
+351
Puerto Rico
+1
Qatar (قطر)
+974
Réunion (La Réunion)
+262
Romania (România)
+40
Russia (Россия)
+7
Rwanda
+250
Saint Barthélemy
+590
Saint Helena
+290
Saint Kitts and Nevis
+1
Saint Lucia
+1
Saint Martin (Saint-Martin (partie française))
+590
Saint Pierre and Miquelon (Saint-Pierre-et-Miquelon)
+508
Saint Vincent and the Grenadines
+1
Samoa
+685
San Marino
+378
São Tomé and Príncipe (São Tomé e Príncipe)
+239
Saudi Arabia (المملكة العربية السعودية)
+966
Senegal (Sénégal)
+221
Serbia (Србија)
+381
Seychelles
+248
Sierra Leone
+232
Singapore
+65
Sint Maarten
+1
Slovakia (Slovensko)
+421
Slovenia (Slovenija)
+386
Solomon Islands
+677
Somalia (Soomaaliya)
+252
South Africa
+27
South Korea (대한민국)
+82
South Sudan (جنوب السودان)
+211
Spain (España)
+34
Sri Lanka (ශ්රී ලංකාව)
+94
Sudan (السودان)
+249
Suriname
+597
Svalbard and Jan Mayen
+47
Sweden (Sverige)
+46
Switzerland (Schweiz)
+41
Syria (سوريا)
+963
Taiwan (台灣)
+886
Tajikistan
+992
Tanzania
+255
Thailand (ไทย)
+66
Timor-Leste
+670
Togo
+228
Tokelau
+690
Tonga
+676
Trinidad and Tobago
+1
Tunisia (تونس)
+216
Turkey (Türkiye)
+90
Turkmenistan
+993
Turks and Caicos Islands
+1
Tuvalu
+688
U.S. Virgin Islands
+1
Uganda
+256
Ukraine (Україна)
+380
United Arab Emirates (الإمارات العربية المتحدة)
+971
United Kingdom
+44
United States
+1
Uruguay
+598
Uzbekistan (Oʻzbekiston)
+998
Vanuatu
+678
Vatican City (Città del Vaticano)
+39
Venezuela
+58
Vietnam (Việt Nam)
+84
Wallis and Futuna (Wallis-et-Futuna)
+681
Western Sahara (الصحراء الغربية)
+212
Yemen (اليمن)
+967
Zambia
+260
Zimbabwe
+263
Åland Islands
+358
Email
*
EMERGENCY CONTACT
Emergency Contact's Name
*
First
Last
Best Phone #
*
United States
+1
United Kingdom
+44
Afghanistan (افغانستان)
+93
Albania (Shqipëri)
+355
Algeria (الجزائر)
+213
American Samoa
+1
Andorra
+376
Angola
+244
Anguilla
+1
Antigua and Barbuda
+1
Argentina
+54
Armenia (Հայաստան)
+374
Aruba
+297
Ascension Island
+247
Australia
+61
Austria (Österreich)
+43
Azerbaijan (Azərbaycan)
+994
Bahamas
+1
Bahrain (البحرين)
+973
Bangladesh (বাংলাদেশ)
+880
Barbados
+1
Belarus (Беларусь)
+375
Belgium (België)
+32
Belize
+501
Benin (Bénin)
+229
Bermuda
+1
Bhutan (འབྲུག)
+975
Bolivia
+591
Bosnia and Herzegovina (Босна и Херцеговина)
+387
Botswana
+267
Brazil (Brasil)
+55
British Indian Ocean Territory
+246
British Virgin Islands
+1
Brunei
+673
Bulgaria (България)
+359
Burkina Faso
+226
Burundi (Uburundi)
+257
Cambodia (កម្ពុជា)
+855
Cameroon (Cameroun)
+237
Canada
+1
Cape Verde (Kabu Verdi)
+238
Caribbean Netherlands
+599
Cayman Islands
+1
Central African Republic (République centrafricaine)
+236
Chad (Tchad)
+235
Chile
+56
China (中国)
+86
Christmas Island
+61
Cocos (Keeling) Islands
+61
Colombia
+57
Comoros (جزر القمر)
+269
Congo (DRC) (Jamhuri ya Kidemokrasia ya Kongo)
+243
Congo (Republic) (Congo-Brazzaville)
+242
Cook Islands
+682
Costa Rica
+506
Côte d’Ivoire
+225
Croatia (Hrvatska)
+385
Cuba
+53
Curaçao
+599
Cyprus (Κύπρος)
+357
Czech Republic (Česká republika)
+420
Denmark (Danmark)
+45
Djibouti
+253
Dominica
+1
Dominican Republic (República Dominicana)
+1
Ecuador
+593
Egypt (مصر)
+20
El Salvador
+503
Equatorial Guinea (Guinea Ecuatorial)
+240
Eritrea
+291
Estonia (Eesti)
+372
Eswatini
+268
Ethiopia
+251
Falkland Islands (Islas Malvinas)
+500
Faroe Islands (Føroyar)
+298
Fiji
+679
Finland (Suomi)
+358
France
+33
French Guiana (Guyane française)
+594
French Polynesia (Polynésie française)
+689
Gabon
+241
Gambia
+220
Georgia (საქართველო)
+995
Germany (Deutschland)
+49
Ghana (Gaana)
+233
Gibraltar
+350
Greece (Ελλάδα)
+30
Greenland (Kalaallit Nunaat)
+299
Grenada
+1
Guadeloupe
+590
Guam
+1
Guatemala
+502
Guernsey
+44
Guinea (Guinée)
+224
Guinea-Bissau (Guiné Bissau)
+245
Guyana
+592
Haiti
+509
Honduras
+504
Hong Kong (香港)
+852
Hungary (Magyarország)
+36
Iceland (Ísland)
+354
India (भारत)
+91
Indonesia
+62
Iran (ایران)
+98
Iraq (العراق)
+964
Ireland
+353
Isle of Man
+44
Israel (ישראל)
+972
Italy (Italia)
+39
Jamaica
+1
Japan (日本)
+81
Jersey
+44
Jordan (الأردن)
+962
Kazakhstan (Казахстан)
+7
Kenya
+254
Kiribati
+686
Kosovo
+383
Kuwait (الكويت)
+965
Kyrgyzstan (Кыргызстан)
+996
Laos (ລາວ)
+856
Latvia (Latvija)
+371
Lebanon (لبنان)
+961
Lesotho
+266
Liberia
+231
Libya (ليبيا)
+218
Liechtenstein
+423
Lithuania (Lietuva)
+370
Luxembourg
+352
Macau (澳門)
+853
Madagascar (Madagasikara)
+261
Malawi
+265
Malaysia
+60
Maldives
+960
Mali
+223
Malta
+356
Marshall Islands
+692
Martinique
+596
Mauritania (موريتانيا)
+222
Mauritius (Moris)
+230
Mayotte
+262
Mexico (México)
+52
Micronesia
+691
Moldova (Republica Moldova)
+373
Monaco
+377
Mongolia (Монгол)
+976
Montenegro (Crna Gora)
+382
Montserrat
+1
Morocco (المغرب)
+212
Mozambique (Moçambique)
+258
Myanmar (Burma) (မြန်မာ)
+95
Namibia (Namibië)
+264
Nauru
+674
Nepal (नेपाल)
+977
Netherlands (Nederland)
+31
New Caledonia (Nouvelle-Calédonie)
+687
New Zealand
+64
Nicaragua
+505
Niger (Nijar)
+227
Nigeria
+234
Niue
+683
Norfolk Island
+672
North Korea (조선 민주주의 인민 공화국)
+850
North Macedonia (Северна Македонија)
+389
Northern Mariana Islands
+1
Norway (Norge)
+47
Oman (عُمان)
+968
Pakistan (پاکستان)
+92
Palau
+680
Palestine (فلسطين)
+970
Panama (Panamá)
+507
Papua New Guinea
+675
Paraguay
+595
Peru (Perú)
+51
Philippines
+63
Poland (Polska)
+48
Portugal
+351
Puerto Rico
+1
Qatar (قطر)
+974
Réunion (La Réunion)
+262
Romania (România)
+40
Russia (Россия)
+7
Rwanda
+250
Saint Barthélemy
+590
Saint Helena
+290
Saint Kitts and Nevis
+1
Saint Lucia
+1
Saint Martin (Saint-Martin (partie française))
+590
Saint Pierre and Miquelon (Saint-Pierre-et-Miquelon)
+508
Saint Vincent and the Grenadines
+1
Samoa
+685
San Marino
+378
São Tomé and Príncipe (São Tomé e Príncipe)
+239
Saudi Arabia (المملكة العربية السعودية)
+966
Senegal (Sénégal)
+221
Serbia (Србија)
+381
Seychelles
+248
Sierra Leone
+232
Singapore
+65
Sint Maarten
+1
Slovakia (Slovensko)
+421
Slovenia (Slovenija)
+386
Solomon Islands
+677
Somalia (Soomaaliya)
+252
South Africa
+27
South Korea (대한민국)
+82
South Sudan (جنوب السودان)
+211
Spain (España)
+34
Sri Lanka (ශ්රී ලංකාව)
+94
Sudan (السودان)
+249
Suriname
+597
Svalbard and Jan Mayen
+47
Sweden (Sverige)
+46
Switzerland (Schweiz)
+41
Syria (سوريا)
+963
Taiwan (台灣)
+886
Tajikistan
+992
Tanzania
+255
Thailand (ไทย)
+66
Timor-Leste
+670
Togo
+228
Tokelau
+690
Tonga
+676
Trinidad and Tobago
+1
Tunisia (تونس)
+216
Turkey (Türkiye)
+90
Turkmenistan
+993
Turks and Caicos Islands
+1
Tuvalu
+688
U.S. Virgin Islands
+1
Uganda
+256
Ukraine (Україна)
+380
United Arab Emirates (الإمارات العربية المتحدة)
+971
United Kingdom
+44
United States
+1
Uruguay
+598
Uzbekistan (Oʻzbekiston)
+998
Vanuatu
+678
Vatican City (Città del Vaticano)
+39
Venezuela
+58
Vietnam (Việt Nam)
+84
Wallis and Futuna (Wallis-et-Futuna)
+681
Western Sahara (الصحراء الغربية)
+212
Yemen (اليمن)
+967
Zambia
+260
Zimbabwe
+263
Åland Islands
+358
Other Phone #
United States
+1
United Kingdom
+44
Afghanistan (افغانستان)
+93
Albania (Shqipëri)
+355
Algeria (الجزائر)
+213
American Samoa
+1
Andorra
+376
Angola
+244
Anguilla
+1
Antigua and Barbuda
+1
Argentina
+54
Armenia (Հայաստան)
+374
Aruba
+297
Ascension Island
+247
Australia
+61
Austria (Österreich)
+43
Azerbaijan (Azərbaycan)
+994
Bahamas
+1
Bahrain (البحرين)
+973
Bangladesh (বাংলাদেশ)
+880
Barbados
+1
Belarus (Беларусь)
+375
Belgium (België)
+32
Belize
+501
Benin (Bénin)
+229
Bermuda
+1
Bhutan (འབྲུག)
+975
Bolivia
+591
Bosnia and Herzegovina (Босна и Херцеговина)
+387
Botswana
+267
Brazil (Brasil)
+55
British Indian Ocean Territory
+246
British Virgin Islands
+1
Brunei
+673
Bulgaria (България)
+359
Burkina Faso
+226
Burundi (Uburundi)
+257
Cambodia (កម្ពុជា)
+855
Cameroon (Cameroun)
+237
Canada
+1
Cape Verde (Kabu Verdi)
+238
Caribbean Netherlands
+599
Cayman Islands
+1
Central African Republic (République centrafricaine)
+236
Chad (Tchad)
+235
Chile
+56
China (中国)
+86
Christmas Island
+61
Cocos (Keeling) Islands
+61
Colombia
+57
Comoros (جزر القمر)
+269
Congo (DRC) (Jamhuri ya Kidemokrasia ya Kongo)
+243
Congo (Republic) (Congo-Brazzaville)
+242
Cook Islands
+682
Costa Rica
+506
Côte d’Ivoire
+225
Croatia (Hrvatska)
+385
Cuba
+53
Curaçao
+599
Cyprus (Κύπρος)
+357
Czech Republic (Česká republika)
+420
Denmark (Danmark)
+45
Djibouti
+253
Dominica
+1
Dominican Republic (República Dominicana)
+1
Ecuador
+593
Egypt (مصر)
+20
El Salvador
+503
Equatorial Guinea (Guinea Ecuatorial)
+240
Eritrea
+291
Estonia (Eesti)
+372
Eswatini
+268
Ethiopia
+251
Falkland Islands (Islas Malvinas)
+500
Faroe Islands (Føroyar)
+298
Fiji
+679
Finland (Suomi)
+358
France
+33
French Guiana (Guyane française)
+594
French Polynesia (Polynésie française)
+689
Gabon
+241
Gambia
+220
Georgia (საქართველო)
+995
Germany (Deutschland)
+49
Ghana (Gaana)
+233
Gibraltar
+350
Greece (Ελλάδα)
+30
Greenland (Kalaallit Nunaat)
+299
Grenada
+1
Guadeloupe
+590
Guam
+1
Guatemala
+502
Guernsey
+44
Guinea (Guinée)
+224
Guinea-Bissau (Guiné Bissau)
+245
Guyana
+592
Haiti
+509
Honduras
+504
Hong Kong (香港)
+852
Hungary (Magyarország)
+36
Iceland (Ísland)
+354
India (भारत)
+91
Indonesia
+62
Iran (ایران)
+98
Iraq (العراق)
+964
Ireland
+353
Isle of Man
+44
Israel (ישראל)
+972
Italy (Italia)
+39
Jamaica
+1
Japan (日本)
+81
Jersey
+44
Jordan (الأردن)
+962
Kazakhstan (Казахстан)
+7
Kenya
+254
Kiribati
+686
Kosovo
+383
Kuwait (الكويت)
+965
Kyrgyzstan (Кыргызстан)
+996
Laos (ລາວ)
+856
Latvia (Latvija)
+371
Lebanon (لبنان)
+961
Lesotho
+266
Liberia
+231
Libya (ليبيا)
+218
Liechtenstein
+423
Lithuania (Lietuva)
+370
Luxembourg
+352
Macau (澳門)
+853
Madagascar (Madagasikara)
+261
Malawi
+265
Malaysia
+60
Maldives
+960
Mali
+223
Malta
+356
Marshall Islands
+692
Martinique
+596
Mauritania (موريتانيا)
+222
Mauritius (Moris)
+230
Mayotte
+262
Mexico (México)
+52
Micronesia
+691
Moldova (Republica Moldova)
+373
Monaco
+377
Mongolia (Монгол)
+976
Montenegro (Crna Gora)
+382
Montserrat
+1
Morocco (المغرب)
+212
Mozambique (Moçambique)
+258
Myanmar (Burma) (မြန်မာ)
+95
Namibia (Namibië)
+264
Nauru
+674
Nepal (नेपाल)
+977
Netherlands (Nederland)
+31
New Caledonia (Nouvelle-Calédonie)
+687
New Zealand
+64
Nicaragua
+505
Niger (Nijar)
+227
Nigeria
+234
Niue
+683
Norfolk Island
+672
North Korea (조선 민주주의 인민 공화국)
+850
North Macedonia (Северна Македонија)
+389
Northern Mariana Islands
+1
Norway (Norge)
+47
Oman (عُمان)
+968
Pakistan (پاکستان)
+92
Palau
+680
Palestine (فلسطين)
+970
Panama (Panamá)
+507
Papua New Guinea
+675
Paraguay
+595
Peru (Perú)
+51
Philippines
+63
Poland (Polska)
+48
Portugal
+351
Puerto Rico
+1
Qatar (قطر)
+974
Réunion (La Réunion)
+262
Romania (România)
+40
Russia (Россия)
+7
Rwanda
+250
Saint Barthélemy
+590
Saint Helena
+290
Saint Kitts and Nevis
+1
Saint Lucia
+1
Saint Martin (Saint-Martin (partie française))
+590
Saint Pierre and Miquelon (Saint-Pierre-et-Miquelon)
+508
Saint Vincent and the Grenadines
+1
Samoa
+685
San Marino
+378
São Tomé and Príncipe (São Tomé e Príncipe)
+239
Saudi Arabia (المملكة العربية السعودية)
+966
Senegal (Sénégal)
+221
Serbia (Србија)
+381
Seychelles
+248
Sierra Leone
+232
Singapore
+65
Sint Maarten
+1
Slovakia (Slovensko)
+421
Slovenia (Slovenija)
+386
Solomon Islands
+677
Somalia (Soomaaliya)
+252
South Africa
+27
South Korea (대한민국)
+82
South Sudan (جنوب السودان)
+211
Spain (España)
+34
Sri Lanka (ශ්රී ලංකාව)
+94
Sudan (السودان)
+249
Suriname
+597
Svalbard and Jan Mayen
+47
Sweden (Sverige)
+46
Switzerland (Schweiz)
+41
Syria (سوريا)
+963
Taiwan (台灣)
+886
Tajikistan
+992
Tanzania
+255
Thailand (ไทย)
+66
Timor-Leste
+670
Togo
+228
Tokelau
+690
Tonga
+676
Trinidad and Tobago
+1
Tunisia (تونس)
+216
Turkey (Türkiye)
+90
Turkmenistan
+993
Turks and Caicos Islands
+1
Tuvalu
+688
U.S. Virgin Islands
+1
Uganda
+256
Ukraine (Україна)
+380
United Arab Emirates (الإمارات العربية المتحدة)
+971
United Kingdom
+44
United States
+1
Uruguay
+598
Uzbekistan (Oʻzbekiston)
+998
Vanuatu
+678
Vatican City (Città del Vaticano)
+39
Venezuela
+58
Vietnam (Việt Nam)
+84
Wallis and Futuna (Wallis-et-Futuna)
+681
Western Sahara (الصحراء الغربية)
+212
Yemen (اليمن)
+967
Zambia
+260
Zimbabwe
+263
Åland Islands
+358
Food Allergies or Restrictions
*
CHILD(REN) PICKUP
Do you approve of someone else picking up your child(ren)?
*
Yes
No
Approved Person's Name
*
First
Last
Approved Person's Phone #
*
United States
+1
United Kingdom
+44
Afghanistan (افغانستان)
+93
Albania (Shqipëri)
+355
Algeria (الجزائر)
+213
American Samoa
+1
Andorra
+376
Angola
+244
Anguilla
+1
Antigua and Barbuda
+1
Argentina
+54
Armenia (Հայաստան)
+374
Aruba
+297
Ascension Island
+247
Australia
+61
Austria (Österreich)
+43
Azerbaijan (Azərbaycan)
+994
Bahamas
+1
Bahrain (البحرين)
+973
Bangladesh (বাংলাদেশ)
+880
Barbados
+1
Belarus (Беларусь)
+375
Belgium (België)
+32
Belize
+501
Benin (Bénin)
+229
Bermuda
+1
Bhutan (འབྲུག)
+975
Bolivia
+591
Bosnia and Herzegovina (Босна и Херцеговина)
+387
Botswana
+267
Brazil (Brasil)
+55
British Indian Ocean Territory
+246
British Virgin Islands
+1
Brunei
+673
Bulgaria (България)
+359
Burkina Faso
+226
Burundi (Uburundi)
+257
Cambodia (កម្ពុជា)
+855
Cameroon (Cameroun)
+237
Canada
+1
Cape Verde (Kabu Verdi)
+238
Caribbean Netherlands
+599
Cayman Islands
+1
Central African Republic (République centrafricaine)
+236
Chad (Tchad)
+235
Chile
+56
China (中国)
+86
Christmas Island
+61
Cocos (Keeling) Islands
+61
Colombia
+57
Comoros (جزر القمر)
+269
Congo (DRC) (Jamhuri ya Kidemokrasia ya Kongo)
+243
Congo (Republic) (Congo-Brazzaville)
+242
Cook Islands
+682
Costa Rica
+506
Côte d’Ivoire
+225
Croatia (Hrvatska)
+385
Cuba
+53
Curaçao
+599
Cyprus (Κύπρος)
+357
Czech Republic (Česká republika)
+420
Denmark (Danmark)
+45
Djibouti
+253
Dominica
+1
Dominican Republic (República Dominicana)
+1
Ecuador
+593
Egypt (مصر)
+20
El Salvador
+503
Equatorial Guinea (Guinea Ecuatorial)
+240
Eritrea
+291
Estonia (Eesti)
+372
Eswatini
+268
Ethiopia
+251
Falkland Islands (Islas Malvinas)
+500
Faroe Islands (Føroyar)
+298
Fiji
+679
Finland (Suomi)
+358
France
+33
French Guiana (Guyane française)
+594
French Polynesia (Polynésie française)
+689
Gabon
+241
Gambia
+220
Georgia (საქართველო)
+995
Germany (Deutschland)
+49
Ghana (Gaana)
+233
Gibraltar
+350
Greece (Ελλάδα)
+30
Greenland (Kalaallit Nunaat)
+299
Grenada
+1
Guadeloupe
+590
Guam
+1
Guatemala
+502
Guernsey
+44
Guinea (Guinée)
+224
Guinea-Bissau (Guiné Bissau)
+245
Guyana
+592
Haiti
+509
Honduras
+504
Hong Kong (香港)
+852
Hungary (Magyarország)
+36
Iceland (Ísland)
+354
India (भारत)
+91
Indonesia
+62
Iran (ایران)
+98
Iraq (العراق)
+964
Ireland
+353
Isle of Man
+44
Israel (ישראל)
+972
Italy (Italia)
+39
Jamaica
+1
Japan (日本)
+81
Jersey
+44
Jordan (الأردن)
+962
Kazakhstan (Казахстан)
+7
Kenya
+254
Kiribati
+686
Kosovo
+383
Kuwait (الكويت)
+965
Kyrgyzstan (Кыргызстан)
+996
Laos (ລາວ)
+856
Latvia (Latvija)
+371
Lebanon (لبنان)
+961
Lesotho
+266
Liberia
+231
Libya (ليبيا)
+218
Liechtenstein
+423
Lithuania (Lietuva)
+370
Luxembourg
+352
Macau (澳門)
+853
Madagascar (Madagasikara)
+261
Malawi
+265
Malaysia
+60
Maldives
+960
Mali
+223
Malta
+356
Marshall Islands
+692
Martinique
+596
Mauritania (موريتانيا)
+222
Mauritius (Moris)
+230
Mayotte
+262
Mexico (México)
+52
Micronesia
+691
Moldova (Republica Moldova)
+373
Monaco
+377
Mongolia (Монгол)
+976
Montenegro (Crna Gora)
+382
Montserrat
+1
Morocco (المغرب)
+212
Mozambique (Moçambique)
+258
Myanmar (Burma) (မြန်မာ)
+95
Namibia (Namibië)
+264
Nauru
+674
Nepal (नेपाल)
+977
Netherlands (Nederland)
+31
New Caledonia (Nouvelle-Calédonie)
+687
New Zealand
+64
Nicaragua
+505
Niger (Nijar)
+227
Nigeria
+234
Niue
+683
Norfolk Island
+672
North Korea (조선 민주주의 인민 공화국)
+850
North Macedonia (Северна Македонија)
+389
Northern Mariana Islands
+1
Norway (Norge)
+47
Oman (عُمان)
+968
Pakistan (پاکستان)
+92
Palau
+680
Palestine (فلسطين)
+970
Panama (Panamá)
+507
Papua New Guinea
+675
Paraguay
+595
Peru (Perú)
+51
Philippines
+63
Poland (Polska)
+48
Portugal
+351
Puerto Rico
+1
Qatar (قطر)
+974
Réunion (La Réunion)
+262
Romania (România)
+40
Russia (Россия)
+7
Rwanda
+250
Saint Barthélemy
+590
Saint Helena
+290
Saint Kitts and Nevis
+1
Saint Lucia
+1
Saint Martin (Saint-Martin (partie française))
+590
Saint Pierre and Miquelon (Saint-Pierre-et-Miquelon)
+508
Saint Vincent and the Grenadines
+1
Samoa
+685
San Marino
+378
São Tomé and Príncipe (São Tomé e Príncipe)
+239
Saudi Arabia (المملكة العربية السعودية)
+966
Senegal (Sénégal)
+221
Serbia (Србија)
+381
Seychelles
+248
Sierra Leone
+232
Singapore
+65
Sint Maarten
+1
Slovakia (Slovensko)
+421
Slovenia (Slovenija)
+386
Solomon Islands
+677
Somalia (Soomaaliya)
+252
South Africa
+27
South Korea (대한민국)
+82
South Sudan (جنوب السودان)
+211
Spain (España)
+34
Sri Lanka (ශ්රී ලංකාව)
+94
Sudan (السودان)
+249
Suriname
+597
Svalbard and Jan Mayen
+47
Sweden (Sverige)
+46
Switzerland (Schweiz)
+41
Syria (سوريا)
+963
Taiwan (台灣)
+886
Tajikistan
+992
Tanzania
+255
Thailand (ไทย)
+66
Timor-Leste
+670
Togo
+228
Tokelau
+690
Tonga
+676
Trinidad and Tobago
+1
Tunisia (تونس)
+216
Turkey (Türkiye)
+90
Turkmenistan
+993
Turks and Caicos Islands
+1
Tuvalu
+688
U.S. Virgin Islands
+1
Uganda
+256
Ukraine (Україна)
+380
United Arab Emirates (الإمارات العربية المتحدة)
+971
United Kingdom
+44
United States
+1
Uruguay
+598
Uzbekistan (Oʻzbekiston)
+998
Vanuatu
+678
Vatican City (Città del Vaticano)
+39
Venezuela
+58
Vietnam (Việt Nam)
+84
Wallis and Futuna (Wallis-et-Futuna)
+681
Western Sahara (الصحراء الغربية)
+212
Yemen (اليمن)
+967
Zambia
+260
Zimbabwe
+263
Åland Islands
+358
Next
RELEASE FORMS
Media Release Form
*
By checking this box I acknowledge I have read all the terms and conditions below.
I understand that the volunteer photographers and/or film crews may sometimes be present to photograph or film the summer camp, field trips, and the final presentation. I hereby give my permission for promotional photographs and film and/or film footage, which may include my child, to be used for promotional and solicitation purposes and also in film festivals, television, newspapers, magazines, and press releases on the Church website and other websites related to the church, Facebook/Instagram or any other media deemed appropriate by Epworth United Methodist Church & The Epworth Foundation. Since participation is voluntary, neither the minor children nor myself will receive financial compensation.
PLEASE NOTE: We reserve the right, at our sole discretion, to change, modify or otherwise alter these Terms and Conditions at any time. Unless otherwise indicated, amendments will become effective immediately. Please review these Terms and Conditions periodically.
Multiple Choice
*
I Approve!
Please do NOT photograph my child. (If this box is selected, we request you notify all staff, instructors, and volunteers in advance and that your child knows why they will not be included in group photos)
Signature
*
Clear Signature
Print Name
*
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Last
Today's Date
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Next
Medical Release Form
Check any that apply to your child. With awareness of your child’s needs, staff may be able to modify activities and techniques for inclusiveness prior to the start of the camp.
*
No specific medical or behavioral condition
Any physical, emotional, or behavioral conditions, including cognitive, LD, ADD, ADHD, or autism requiring medication, treatment, special restrictions, or considerations while at camp (if checked, please specify below)
List activities from which the camper should be exempted for health reasons or require special accommodations (if checked, please specify below)
Please note that it is your responsibility to supply any necessary medical equipment that relates to a specific medical condition. Suppose your child needs to take medication, or you expect camp staff to dispense medication to your child during camp hours. In that case, you must also complete the separate Medication Dispensing Information, Waiver, and Release form.
Specify
*
Specify II
*
Does your child require an EpiPen?
*
Yes
No
If YES, you need to send one with your child every day.
Do you give Epworth United Methodist Church to give your child Benadryl if needed during a field trip?
*
Yes
No
If the parent or legal guardian is not available in a case of emergency, I hereby grant Epworth United Methodist Church and The Epworth Foundation my permission to secure emergency medical treatment for my child/children.
*
Yes
No
Signature
*
Clear Signature
Print Name
*
First
Last
Today's Date
*
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Parental Consent Form
Parental Consent Form
*
I hereby attest that I am the legal parent/guardian of the child/children named earlier. By submitting payment, I contest my child’s/children participation at the Epworth United Methodist Church VBS Talent Camp 2022 in conjunction with The Epworth Foundation. I willingly release & hold harmless the Church, Foundation, its staff, its volunteers, and or/agents from all liabilities and any mishaps that may befall my child(ren), including, but not limited to, the activities in the classroom outside the Church and all field trips.
Number of children registering?
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ONE
TWO
THREE
Would you like to donate?
*
Yes
No
If so, enter amount here.
*
Enter in format 00.00 without "$"
Total
$0.00
Credit Card Information
*
Card
Name on Card
Submit
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