Shipwrecked VBS 2019 Registration
Date of Birth
Last School Grade Completed
Name of Parent(s)
Parent/Caregiver Cell no.
Home email address
Allergies or other medical conditions
In Case of Emergency, contact:
Relationship to Child
Media Release: This consent form will authorize Argentine Mennonite Church to use and print photographs and any other form of media material for educational, informational and promotional purposes. Images may be used, but is not limited to, Argentine Mennonite Church publications and newsletters, newspaper articles, advertising material, web listings, websites, etc. This Media Release Form will be kept on file by Argentine Mennonite Church as reference for individual approval.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service