Stonehill SDA Church VBS 2019 Child Registration Form
Please fill out a separate form for each child participating
Child's Name
Child's Date of Birth
MM
/
DD
/
YYYY
Child's Age
Child's Sex
Clear selection
Parent's/Guardian's Name 1
Home Address
Home/Cell Phone
Parent/Guardian email address
Custodial Arrangement
Allergies or other medical conditions
In case of emergency, contact
Emergency Phone
Emergency Contact relationship to the Child
I give permission to call 911 in case of Emergency
Clear selection
Photographs will be taken during VBS. My signature indicates I am giving permission for my child's photo to be taken
Submit
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