VBS REGISTRATION FORM 2021
Kids going into Kindergarten through just completed 6th grade, join us July 26- 30 for Rocky Railway VBS at Trinity, 6:00 p.m. - 8:00 p.m. If you have questions please email Suzi @ s.schneman@fctrinity.net or call the church office at 309-928-2273.
PARENT / GUARDIAN FIRST NAME *
PARENT / GUARDIAN LAST NAME *
ADDRESS *
CITY *
STATE *
ZIP *
BEST PHONE NUMBER *
EMAIL ADDRESS
Do you have a church home? *
If yes, where?
DO WE HAVE PERMISSION TO PHOTOGRAPH YOUR CHILD(REN) TO USE IN OUR CHURCH? *
OTHER EMERGENCY CONTACT PERSON & PHONE NUMBER:
Would you prefer to have your children together in a class or in graded classes?
1. CHILD'S FIRST AND LAST NAME *
LAST GRADE COMPLETED *
ARE THERE ANY ALLERGIES OR MEDICAL ISSUES THAT WE SHOULD KNOW ABOUT? PLEASE EXPLAIN.
2. CHILD'S FIRST AND LAST NAME
LAST GRADE COMPLETED
ARE THERE ANY ALLERGIES OR MEDICAL ISSUES THAT WE SHOULD KNOW ABOUT? PLEASE EXPLAIN.
3. CHILD'S FIRST AND LAST NAME
LAST GRADE COMPLETED
ARE THERE ANY ALLERGIES OR MEDICAL ISSUES THAT WE SHOULD KNOW ABOUT? PLEASE EXPLAIN.
4. CHILD'S FIRST AND LAST NAME
LAST GRADE COMPLETED
ARE THERE ANY ALLERGIES OR MEDICAL ISSUES THAT WE SHOULD KNOW ABOUT? PLEASE EXPLAIN.
5. CHILD'S FIRST AND LAST NAME
LAST GRADE COMPLETED
ARE THERE ANY ALLERGIES OR MEDICAL ISSUES THAT WE SHOULD KNOW ABOUT? PLEASE EXPLAIN.
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