Vacation Bible School - Registration
Event Date and Time: July 16-19, 9:00-11:30am
Event Address: 9428 4th St. SE Lake Stevens, WA (Calvary Chapel)
Contact: kids@cclakestevens.org
Child's Name *
Your answer
Grade Completed *
Birthdate *
MM
/
DD
/
YYYY
Parent Name *
Your answer
Parent Phone *
Your answer
Parent Email *
Your answer
Emergency Contact Person *
Your answer
Emergency Contact Phone *
Your answer
Dietary restrictions or food allergies
Your answer
Medical Concerns / Special Needs
Your answer
Siblings attending VBS (name and age)
Your answer
Church Affiliation
Your answer
Any other authorized pickup person?
Your answer
Photo Release *
Request for permission to potentially use your child's photograph/film to share with our church through photos in our hallway, a recap video and Facebook page.
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service