Registration Form (Children)
Child's Name *
Your answer
Parent/Guardian Name *
Your answer
Address *
Your answer
Mailing Address (if different)
Your answer
Phone Numbers
Home *
Your answer
Work
Your answer
Cell
Your answer
E-mail
Your answer
Age Information
Birth date *
Your answer
Last grade completed in school *
Your answer
Medical Information
Medical or other information we need to know. (Please include any food allergies.) *
Your answer
Emergency Contacts
Names and Phone numbers (other than listed above) *
Your answer
Dismissal Information
Who may pick up your child at the end of each VBS day? *
Your answer
Other Information
Does your child attend Sunday School? *
If so, where?
Your answer
If your child is visiting our church, who are they the guest of?
Your answer
May we have permission to photograph your child? *
May we have permission to use your child's photograph for the purpose of promotion? *
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