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? *
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? *
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.
Electronic Signature *
By typing your name here, you verify that all the information you provided is correct.
Your answer
I am interested in volunteering!
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms