Redeeming Grace Church VBS 2020 Registration Form
Register your family for VBS by filling out the information below:
Parent/Guardian Information
Parent/Guardian's Name *
Contact Phone Number *
Street Address *
City *
State *
Zip Code *
Email Address
Emergency Contact Information
Please fill out the following information just in case we need to contact you.
Name *
Phone Number *
Permission to Photograph Your Child & Use for Promotion
May we have permission to photograph your child? *
May we have permission to use your child's photograph for the purpose of promotion *
Child/Children's Information
You can fill in information for up to 5 children on this form. Put child's information separately. If only one child, after filling in their information, scroll down to bottom and click submit.
Child's Name (First & Last Name)
Age
Birthdate
MM
/
DD
/
YYYY
Last Grade Completed
Medical Information (Include Allergies)
Child #2 Name (First & Last Name)
Age
Birthdate
MM
/
DD
/
YYYY
Last Grade Completed
Medical Information (Include Allergies)
Child #3 Name (First & Last Name)
Age
Birthdate
MM
/
DD
/
YYYY
Last Grade Completed
Medical Information (Include Allergies)
Child #4 Name (First & Last Name)
Age
Birthdate
MM
/
DD
/
YYYY
Last Grade Completed
Medical Information (Include Allergies)
Child #5 Name (First & Last Name)
Age
Birthdate
MM
/
DD
/
YYYY
Last Grade Completed
Medical Information (Include Allergies)
Submit
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