Vacation Bible School Registration Form
Welcome to the Vacation Bible School Registration form. Thank you for taking the time to fill this form out. We CANNOT wait to share the timelessness of the Scripture as your child encounters God's Word in a practical way that leads to life-long application!
Email address *
Child's LAST Name *
Your answer
Child's FIRST Name *
Your answer
Grade *
Please Choose the grade your child was in this past school year (2018-2019) If your child is not yet in Pre-School, but is 3 years old and potty trained, please select "Pre-School)
Required
Name of Parent(s) or Legal Guardian(s) *
Your answer
Home Adress *
Your answer
Primary Phone Number *
Your answer
Emergency Contact *
Please include an additional name, phone number, and relationship to the child. Our first action is always contacting a parent or legal guardian, but if we are unable, we would like another option.
Your answer
Allergies or Other Medical Conditions *
If there are none, please put "NONE." Please indicate specific procedures for treating allergies or medical conditions if known.
Your answer
Alternate Pickup
Please list any other adults that might pick up your child. Also include their phone number if known.
Your answer
Additional Comments?
Your answer
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