Vacation Bible School Manassas COC
Child Registration
Sign in to Google to save your progress. Learn more
Thank you for your interest in Manassas Church of Christ’s VBS! Please complete and submit a form for each child you wish to register.
Clear selection
Child’s First and Last Name *
Child’s Age *
Child’s Birthday *
MM
/
DD
/
YYYY
Last Elementary grade completed (2021-2022) *
Guardian 1’s Name *
Guardian 1’s Phone Number *
Guardian 2’s Name *
Guardian 2’s Phone Number *
Emergency Contact Name (Other than Guardian 1 & 2) *
Emergency Contact Phone Number *
Additional authorized drop off/ pick up Name
Additional authorized drop off/ pick up’s Phone Number
Name of Church you currently attend, if any?
Medical needs or Allergies? *
How did you hear about our VBS? *
Reminder: VBS is Thursday 8/4 and Friday 8/5 from 6:30-8:00pm and Saturday 8/6 from 10-11:30am. Please pick up your child promptly at the conclusion of the event each day. There is also an adult class offered from 6:30-7:30pm (Thurs/Fri) and 10-11am (Sat) in the main auditorium. Please email Alex Anglin at anh832@gmail.com if you have any questions. Thank you for registering!
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy