Vacation Bible School Registration Form 2021
"Rocky Railway" Jesus' Power Pulls Us Through
Please see Tabatha Nantz with questions. COVID precautions will be taken to protect your child!
Child’s Name *
Mailing Address *
Grade COMPLETED this year: *
Parent(s) Name (first and last) *
Cell Number or Best Number to Call during VBS *
Emergency Contact Other than Parent (Name) *
Emergency Contact's Phone Number *
Please list any medical information we may need to know about your child. Be specific. (Examples: diabetes, asthma, ADHD) *
Please list any medications your child is currently taking. *
Please list any food allergies or other allergies your child may have. *
Do we have permission to take your child's picture and possibly post on our website and/or our church Facebook page? *
Is there anything else we need to know about your child?
Church Information: *
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