2018 Chandler VBS Registration
Please submit this form once for each child.

If much of your information is the same for each child, you will be able to use your browser's "Back" button after you have submitted one form to come back and update just the fields that need to be changed for your next child.

About your child
The information in this section will help us plan for your child to have a great week with us at VBS.
NAME *
Your answer
Gender *
AGE *
Your answer
BIRTHDATE *
MM
/
DD
/
YYYY
Age group *
ALLERGIES
Your answer
PARENT/GUARDIAN
We will use the information in this section to communicate with you about VBS and, if needed, to reach you during VBS.
NAME *
Your answer
ADDRESS *
Please provide your full street address, including city state and zip code.
Your answer
PHONE
Please provide either your home or mobile phone number, preferably both!
Your answer
EMAIL
We will use this address to send you VBS-related information.
Your answer
Church mailing list
May we also add your e-mail address to our church mailing list?
Photography release *
I understand that my child's photograph might be taken during VBS activities and used in promotional material.
Required
Emergency contact information
Please provide contact information for another adult that we can reach during VBS if we are unable to reach you in the event of an emergency.
NAME *
Your answer
PHONE *
Your answer
RELATIONSHIP *
Your answer
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