In Case of Emergency, Please contact (Name, Relationship, Phone Number. Ex: Jane Smith, Mother, 251-xxx-xxxx) *
Your answer
Does your child have any Allergies (food, insect, etc...)? If yes, please explain the steps to take in the event of an allergic reaction (Ex. Epipen, Benadryl, Ice, etc...) *
Your answer
Does your child have any medical/behavior concerns that we need to be aware of (Ex. seizures, asthma, etc...)? *
Your answer
Do we have your permission to photograph or video your child to use in our church's videos, social media posts (Facebook), and website? *
Any other notes on your child? (Ex: this is first time at VBS; if possible, please allow child to be in the same class as _______; if child becomes aggravated, they respond best with this action ______; etc...)
Your answer
Please list anyone who can pick your child up from VBS. Also, if there is anyone who you do NOT want to pick up your child, please list names. *
Your answer
Will your child need bus transportation to/from VBS? *