Student Registration Form for Vacation Bible School ('The King is Coming' - June 10 - 14, 2024)
Please complete a separate form for each child who will attend VBS.  Some of the address information need only be entered once for the family/household (see instructions for those fields). Please have all your children registered by June 1st.
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Email *
Child's Last Name *
Child's First Name *
Child's Most Recent Completed School Grade *
Parent/Guardian Last Name *
Parent/Guardian First Name *
Relationship to Child *
Parent/Guardian Mobile Phone *
Street Address
You do not need to complete this field for multiple children living in the same household.  Only complete for the FIRST child you register and we'll take care of the rest!
City
You do not need to complete this field for multiple children living in the same household.  Only complete for the first child you register.
Zip
You do not need to complete this field for multiple children living in the same household.  Only complete for the first child you register.
Name of an additional person we can contact in an emergency:
 *
What is that person's mobile phone number?*
 *
What is that person's relationship to the child? *
Allergies
Please list any allergies that your child has:
Health Concerns

Please list any medical issues that the VBS staff should be aware of.  (This information may be shared with VBS staff on a need-to-know basis.)
List the names of any other people who may drop off or pick up your child(ren)
May we take photos or video of your child that may be used on the church's webpage(s), social media, and/or other types of media?
 *
Required
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