Oakton CoB VBS 2017 Maker Fun Factory
Please complete one registration for each child you are planning to have attend.
July 31-Aug. 4, 2017 9:20AM to 12:30 PM
Child's First Name
Your answer
Child's Last Name
Your answer
What grade will your child be in next school year?
What is your child's birthday?
MM
/
DD
/
YYYY
Parents' Names
Please give your first and last names.
Your answer
Street Address
Your answer
City, State, Zip
Your answer
Primary Phone Number
Please label as home, work, cell, etc.
Your answer
Secondary Phone Number
Please label as home work cell, etc.
Your answer
Email Address or Indicate Mail Service needed here.
We will send confirmation and other information by email unless you indicate a need for mail service.
Your answer
In case of an emergency contact:
Please give relationship of the person indicated. Provide at least 2 phone numbers beside your own.
Your answer
Does your child have medical or allergy concerns?
Required
Explanation of medical or allergy concerns.
Please be specific and let us know if mediation or epi-pens will be provided.
Your answer
Vacation Bible School Donations to cover your child's expenses are requested.
$30 per child, $50 family maximum. Do you plan to
Do you grant permission for photographs of your child to be use on the church website or other promotional materials?
No names will be identified with photos.
Required
Electronic Signature
By typing your name here, you verify that all the information you provided is correct.
Your answer
I am interested in volunteering!
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms