CTK In The Wild Vacation Bible School Registration
Email address *
Child's First Name *
Your answer
Child's Last Name *
Your answer
Grade Completed *
Age *
Your answer
Parent's/Guardian's Name *
Your answer
Address *
Your answer
Home Phone Number *
Your answer
Cell Phone Number
Your answer
Emergency Contact- Name and relationship to student *
Your answer
Emergency Contact Phone Number *
Your answer
Medical Concerns/Allergies
Your answer
Siblings At VBS
Your answer
People who may pick up your child *
Your answer
Friend Request- If your child has friends that are attending VBS and are in the same grade that they wish to be in a group with please write their names below (2 only please). We will do our best to keep them together.
Your answer
I hereby grant the CTK VBS permission to photograph/film the minor above in any manner or form for any lawful use associated with this VBS program *
Required
If there is anything else you would like to tell us about your child that will help us minister to him/her please let us know below
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A copy of your responses will be emailed to the address you provided.
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