Student Registration (CrossPointe VBS '17)
Please submit one form per child. Once you’ve submitted this form, consider your child registered! We will contact you in the coming weeks to confirm all the details for VBS using the parents’ e-mail address(es) provided. In the meantime, if you have any questions, please direct them to Will Hawk (williamrhawk@gmail.com) or Cristin Wise (cristin@insidecrosspointe.com). We will be selling t-shirt for students this year for $12. They will be available the first day of VBS.

What is your child’s first name?
Your answer
What is your child's last name?
Your answer
What is your child's birthdate?
MM
/
DD
/
YYYY
What grade will your child be entering in Fall 2017?
Does your child have any allergies we should be aware of?
Your answer
Is there anything else we should know about your child?
Your answer
Please type the name(s) of the child’s parent(s) or legal guardian(s).
Please give First and Last names.
Your answer
What is the best phone number to call you?
Your answer
What is the best e-mail address to contact you?
Your answer
In case of emergency, who should we contact?
Please give the First and Last names of your child’s emergency contact.
Your answer
What is the best phone number to reach your emergency contact?
Your answer
Who may pick up your child at the end of each VBS day (other than yourself and your emergency contact)?
Please include their first and last name.
Your answer
Which option best describes your church involvement?
If your child is visiting our church, who is he/she a guest of?
Please list their first and last name.
Your answer
May we have permission to photograph your child?
May we have permission to use your child's photograph for the purpose of promotion?
T-shirts will be available for purchase the week of VBS while supplies last.
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