VBS Registration

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VBS Registration

GALAXY - Launching Kids on a Mission of God's Love

Email *

Child's Name

Parent/Guardian Name

Address

Cell Phone

Child's Date of Birth

Rising Grade

Column 1

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

6th Grade

Allergies

Please Include Food Allergies

Emergency Contact

Emergency Contact Phone

Name of Person(s) for Pick Up/Drop Off at VBS

Photo and Video Consent

We will be taking pictures and video to show in church and during the VBS program. Some may also be posted to social media and the church's website.

Yes

Clear selection

Please provide any special needs your child may have

Parent Signature

By typing your name you are electronically signing this form.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Boger City United Methodist Church.