VBS Registration
Parent/Guardian Information
Name
Contact Number
Text
Yes
No
Address
I give permission for my child(ren)'s photo(s) to be displayed through media that may include the church website, facebook, and the local newspaper. a Title Here
Yes
No
Emergency Contact
Name
Relationship to Child(ren)
Contact Number
Text
Yes
No
Child 1
Name
Home Church
Last School Grade Completed
Age
Dates Attending
Friday, June 23, 6pm-8:30pm
Saturday, June 24, 8:30am-11:30am
Friday, August 4, 6pm-8:30pm
Saturday, August 5, 8:30am-11:30am
Allergies and/or Health Restrictions
Child 2
Name
Home Church
Last School Grade Completed
Age
Dates Attending
Friday, June 23, 6pm-8:30pm
Saturday, June 24, 8:30am-11:30am
Friday, August 4, 6pm-8:30pm
Saturday, August 5, 8:30am-11:30am
Allergies and/or Health Restrictions
Child 3
Name
Home Church
Last School Grade Completed
Age
Dates Attending
Friday, June 23, 6pm-8:30pm
Saturday, June 24, 8:30am-11:30am
Friday, August 4, 6pm-8:30pm
Saturday, August 5, 8:30am-11:30am
Allergies and/or Health Restrictions
Child 4
Name
Home Church
Last School Grade Completed
Age
Dates Attending
Friday, June 23, 6pm-8:30pm
Saturday, June 24, 8:30am-11:30am
Friday, August 4, 6pm-8:30pm
Saturday, August 5, 8:30am-11:30am
Allergies and/or Health Restrictions
REGISTER
Thank you for registering for VBS. Your form has been successfully submitted.