VBS 2018 Registration Form
Please fill out all required information. In order for your child to attend the optional dinner, they must be accompanied by an adult. Also, all children who have attended Child Care must be signed out from Child Care by a parent. They will not be brought directly to VBS from Child Care by the Child Care staff.
Parent or guardian #1 Name
Your answer
Parent or guardian #1
Parent or guardian #2 Name
Your answer
Parent or guardian #2
Street Address (Mailing)
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Home Phone (leave blank if the same as a parent cell)
Your answer
Parent or Guardian #1 Cell
Your answer
Parent or Guardian #1 Email
Your answer
Parent or Guardian #2 Cell
Your answer
Parent or Guardian #2 Email
Your answer
Please list any adults other than parents listed above that your child may be released to. Your child will only be released to those listed unless a note is brought with a change to VBS.
Your answer
Emergency Contact #1 (other than parent)
Your answer
Emergency Contact #1 Relation to child
Your answer
Emergency Contact #1 Phone
Your answer
Emergency Contact #2 (other than parent)
Your answer
Emergency Contact #2 Phone
Your answer
Emergency Contact #2 Relation to child
Your answer
Church membership
If you responded to other in the question above, please give the name of your home church.
Your answer
Will you be attending the adult bible study lead by St. Michael's Pastors.
Child #1's Name
Your answer
Last grade finished for Child #1
Child #1 Birthdate
Your answer
Child #1 Allergies or other medical issues
Your answer
Child #1 Shirt Size
Child #2's Name
Your answer
Last grade finished for Child #2
Child #2 Birthdate
Your answer
Child #2 Allergies or other medical issues
Your answer
Child #2 Shirt Size
Child #3's Name
Your answer
Last grade finished for Child #3
Child #3 Birthdate
Your answer
Child #3 Allergies or other medical issues
Your answer
Child #3 Shirt Size
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