Vacation Bible School Registraion
Risen Life Church | June 25-27th | 9am-12pm | For children entering K-6th in the fall
Child's Name (One form per child, please) *
Your answer
Grade Completed *
Your answer
Age *
Your answer
Parent's Name(s) *
Your answer
Home Address *
Your answer
Home Phone Number *
Your answer
Alternate Phone Number
Your answer
Emergency Contact *
Your answer
Emergency Contact Relationship to Student *
Your answer
Emergency Contact Phone Number *
Your answer
Food Allergies *
Your answer
Medical Concerns
Your answer
Home Church
Your answer
Person(s) who may pick up the child & phone number(s) *
Your answer
Vacation Bible School
(VBS) leaders have permission to photograph/film the minor(s) deisignated above for any lawful pupose associated with this VBS program.
Thank you for giving us the opportunity to teach your child(ren) more about God and give them the opportunity to have fun at the same time that they learn!
Parent Signature & Date *
Your answer
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