Hero Central VBS–Child Participant Registration

Family Contact Info

Family Information

Parent/Guardian Info

Parent/Guardian 1

Parent/Guardian 2

Children's Info

Please enter the following information for each child who will be attending Hero Central. This program is for children who are at least three years old (must be potty trained) as of June 11th up through current fourth graders (as of spring 2017).

If you need to register more than four children, please register four of them and repeat the process.


Child 1

Shirts are provided for all participants.

Child 2

Shirts are provided for all participants.

Child 3

Shirts are provided for all participants.

Other Information

Safety & Security

To ensure the safety of all children, Polk Street UMC uses a computerized check-in/out system at all children’s events. The system issues new name tags and security stubs with unique, matching codes each evening. Codes are checked before children are released to an adult at the end of the night.


Additional Information

By checking the box below, the parents/guardians give permission for photographs and or videos from this event in which their child appears to be used for publications and public relations activities by Polk Street United Methodist Church. This usage may include use in print media, electronic media, and social media. Children will not be identified by name without the written consent of a parent or guardian. Please contact the church office (374-2891) if you have any questions about this release PRIOR to submitting a registration form.