VBS 2018 Registration
VBS Registration
Child's Name *
Your answer
Parent/Guardian Name *
Your answer
Mailing Address (Include city and zip) *
Your answer
Home Phone: *
Your answer
Work Phone:
Your answer
Cell: *
Your answer
Birth Date: *
MM
/
DD
/
YYYY
Last Grade Completed *
Your answer
Age: *
Your answer
Medical Information:
Your answer
Emergency Contacts *
Your answer
Dismissal Information (who many pick up your child at the end of each VBS day?)
Your answer
Does your child attend Sunday School
Where does your child attend church?
Your answer
Do we have permission to photograph your child? *
Do we have permission to use your child's photo for the purpose of promotion?
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