Vacation Bible School 2017 Registration Form
ACP Vacation Bible School, August 2017
Please register each child individually.
Child's first name
Your answer
Child's last name
Your answer
Name to be called (if different than first name)
Your answer
Child's age at time of VBS
Your answer
Language(s) spoken by child (& level)
Required
Parent or guardian first name
Your answer
Parent or guardian last name
Your answer
Postal address: No, Street, Postal Code, City
Your answer
Email address:
Your answer
Mobile telephone number:
Your answer
Can child be photographed for ACP information materials?
You will be asked to sign confirmation of this provision on the first day of VBS.
Allergies or behavioral conditions?
Your answer
Adult contact in case of emergency (if parent cannot be reached)
First name, last name, mobile telephone number
Your answer
Doctor to contact in case of emergency
Doctor's last name, telephone number
Your answer
I would like to volunteer as a VBS teacher or aide
Submit
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