VBS 2018 Registration
CU-ELCA VBS, June 11th -15th
Participant Name *
Your answer
Participant Date of Birth
MM
/
DD
/
YYYY
Grade of participant as of Fall of 2018 *
Your answer
Participant's home church
Your answer
Parent/Guardian name(s) *
Your answer
E-mail Address *
Your answer
Street Address
Your answer
Phone Number(s) *
Your answer
Emergency contact (name, relation to participant, and phone number) *
Your answer
Any allergies or other medical conditions VBS leaders need to be aware of?
Your answer
Is there anyone who is not allowed to pick up this child? *
Your answer
Do we have permission to photograph your child? *
Do we have permission to use your child'd photograph in future promotional items and social media? *
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