VBS 2018 Registration Form June 10-14
Must be at least 18 years to fill out and submit this form (List up to 3 children on this form)
Child #1 Name *
First and Last Name
Your answer
Child #1 Please list any food allergies that your child has: *
Your answer
Child #1 Please list any allergies/concerns that your child has: *
Your answer
Child #1 Age (date of birth, if preschooler) *
MM
/
DD
/
YYYY
Child #1 Last grade completed *
Child #2 Name
First and Last Name
Your answer
Child #2 Please list any food allergies that your child has:
Your answer
Child #2 Please list any allergies/concerns that your child has:
Your answer
Child #2 Age (date of birth, if preschooler)
MM
/
DD
/
YYYY
Child #2 Last grade completed
Child #3 Name
First and Last Name
Your answer
Child #3 Please list any food allergies that your child has:
Your answer
Child #3 Please list any allergies/concerns that your child has:
Your answer
Child #3 Age (date of birth, if preschooler)
MM
/
DD
/
YYYY
Child #3 Last grade completed
Parent/Guardian Name *
First and Last Name
Your answer
Complete Address/Apartment # *
Street Address with Apartment #, City, SC
Your answer
Cell Phone # *
Your answer
Home Phone #
Your answer
Email Address *
Your answer
OK to Photo Your Child for VBS Related Purposes? *
In Case of Emergency Contact Name *
First and Last Name
Your answer
Emergency Contact Phone # *
Your answer
Parent/Guardian Signature *
Submitting this form will serve as parent/guardian signature that your child (children) can attend College Street Baptist Church Vacation Bible School Program 2018 and permission to ride the church bus if applicable. Please type your First and Last Name
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service