Vacation Bible School
Please use the form below to register for VBS
Child's Name
Your answer
Parent/Guardian Name
Your answer
Address
Your answer
Mailing Address (if different)
Your answer
Home Phone Number for Parent/Guardian
Your answer
Cell Phone Number for Parent/Guardian
Your answer
email address for Parent/Guardian
Your answer
Birthdate of child
MM
/
DD
/
YYYY
Age of Child or Last Grade Completed
What size shirt does your child wear?
Medical Information
Please include medical or other inormation we need to know (please include all FOOD allergies)
Your answer
Emergency Contact (other than the one listed above)
Please include name and best phone number
Your answer
Emergency Contact (other than the one listed above)
Please include name and best phone number
Your answer
Dismissal Information
Plase list those who are allowed to pick up your child at the end of VBS each day
Your answer
Is there a specific person not allowed to pick up your child?
Your answer
Does your child attend Sunday School?
If so where?
Your answer
Submit
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