VBS Registration - K-6th Grade ONLY
Fill out a separate form for each student. To ensure the safety of your child, please check them in each day at a Check-In Station. Pick- up will be at 12:00 pm in the Worship Center.
Student Last Name *
Your answer
Student First Name *
Your answer
Student Mailing Address (include city and zip) *
Your answer
Age *
Current Grade (just completed) *
Emergency Contact Name/ Relation *
Your answer
Emergency Contact Number *
Your answer
Medical/Allergy Information (type none if does not apply) *
Your answer
Who will pick up child each day? (Name/Relation)
Your answer
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