VBS Registration 2016: Jesus to the Rescue
Please complete one form for each child.
Submit a check for $25 per child (write VBS and child's name on memo line), made out to Trinity Episcopal Church. Checks may include multiple children.

Payment can be sent to:
Trinity Episcopal Church
65 West Front Street
Red Bank, NJ 07701
Attn: VBS

Alternatively, checks can be deposited in the weekly offering plate during Sunday services.
Child's First Name and Last Name *
Parent/Guardian's First Name and Last Name *
Child's Gender *
Grade Entering *
Participant's Age During VBS *
Phone Number *
Alternate Phone Number
Parent/Guardian's Email Address *
Home Address
Zip Code
Participant's T-Shirt Size *
Participant's Allergies
Please provide an epi-pen if necessary
Other Participant Medical Information
Is there anything else we should know?
Emergency Contact's Name *
Emergency Contact's Phone Number *
Additional Adult Pickup Name
If another adult will be picking up your child
Additional Adult Pickup Number
Additional Information
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