VBS Registration 2017
Name
Your answer
I am registering for (please choose one):
Age (children only)
Your answer
Last grade completed (children only)
Your answer
Gender
Known allergies or medical concerns
Your answer
Parent's name
Your answer
Address
Your answer
Phone number
Your answer
Parent's email address
Your answer
Emergency contact name
Your answer
Emergency contact phone number
Your answer
Emergency contact relationship
Your answer
Please let us know which nights you plan to eat dinner. (Check all that apply.)
Would you be willing to serve as a volunteer?
Volunteer name
Your answer
What is the best way to contact you?
Your answer
We will be taking photographs throughout the week of VBS. Do you give permission for photos of you and/or your child to be printed in church publications, used on the church website, and/or posted on social media accounts affiliated with the church?
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