Request edit access
Briarwood VBS 2018 Registration
VBS will be June 4-8, 2018 from 9:00 a.m.- 12:00 p.m. each day and is open to Briarwood members and visitors.  VBS is FREE but t-shirts will be available the week of VBS for $10.  
Sign in to Google to save your progress. Learn more
Child's First Name *
Child's Last Name *
Email Address *
Re-enter Email Address *
Street Address *
City *
State *
Zip Code *
Phone Number *
Cell Number *
Birthday *
Age *
Grade in the Fall *
Gender *
Parent/Guardian's Name *
Church you attend
School you attend
Languages spoken
You may request ONE friend for your child to be placed with. FRIEND MUST BE IN THE SAME GRADE AS YOUR CHILD.
Please list any allergies/health concerns
Other comments or things we need to be aware of
Emergency contact #1 *
Emergency Contact #1 phone number *
Emergency Contact #2 *
Emergency Contact #2 phone number *
If I cannot be reached in case of an emergency, I give Briarwood VBS permission to seek medical treatment for my child. *
I agree my child will not be dismissed from the classroom unless attended by an adult, with the exception of 5th and 6th graders. *
I give Briarwood permission to use photos or videos of my child in church publications, social media, recap video, etc. *
For VBS volunteers- I am volunteering in the following area:
Please note that nursery is available for anyone volunteering with VBS.  However, you MUST fill out a nursery registration form located on the nursery hall.
Clear selection
For Briarwood members that have not already signed up to volunteer:  I would like to volunteer for VBS in the following area:
Clear selection
For visitors: Please let us know how you heard about VBS.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report