Galactic Starveyors VBS Registration
We're glad you're going to join us at First Congregational for our "Galactic Starveyors" Vacation Bible School! Please fill out one form per child attending.
Child's Name
Your answer
Parent/Guardian Name
Your answer
Address
Your answer
Mailing Address
(if different from home address)
Your answer
Main Phone Number
Your answer
Work Phone
Your answer
Other Phone
(home, cell)
Your answer
Email Address
Your answer
Child's Date of Birth
MM
/
DD
/
YYYY
Last grade child completed in school
Required
Medical Information
Please list any allergies including food allergies or other medical information we need to know about. Enter "none" if there are no concerns to share.
Your answer
Emergency Name and Phone Contact
(other than listed above)
Your answer
Alternate Emergency Name and Phone Contact
(other than listed above)
Your answer
Dismissal Information
Who may pick up your child at the end of each VBS day?
Your answer
Does your child attend Sunday School? If so, where?
Your answer
If your child is visiting our church, who is he or she a guest of?
Your answer
May we have permission to photograph your child?
(we take photos of the children throughout the week to share with the church and the Sunday School)
Required
May we have permission to use your child's photograph for the purpose of promotion?
(a few of our photos will be used in a church video or on our church website)
Required
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