VBS 2019 Registration
Fremont Alliance Church
Email address *
Child's Name
Your answer
Child's Grade Completed
Your answer
Parent's Name
Your answer
Address
Your answer
Phone Number
Your answer
Email
Your answer
Emergency Contact 1 Name
Your answer
Emergency Contact 1 Relationship to Child
Your answer
Emergency Contact 1 Phone
Your answer
Emergency Contact 2 Name
Your answer
Emergency Contact 2 Relationship To Child
Your answer
Emergency Contact 2 Phone
Your answer
Food Allergies
Your answer
This release is intended to be used during the entire VBS event in July 2019. This release form is completed and signed of my own free will. I hereby grant the VBS program permission to use my child's likeness in a photograph or video in any and all of its publications including the website. *
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