VBS 2019 Registration
"In The Wild"
Date: July 8-12, 2019
Time: 8:30am-12pm
23302 El Toro Rd, Lake Forest, CA 92630
(949) 830-7473

Minimum age requirement: Child MUST have finished Kindergarten in the recent school year
Please register each child separately!

Email address *
Child's Name *
Your answer
Names of additional family members or friends registered
Your answer
Parent/Guardian Name *
Your answer
Address (please include city and zip code) *
Your answer
Mailing Address (if different)
Your answer
Phone Numbers (Mark #1 for primary number) Home , Work & Cell *
Your answer
Age Information (Child's Birth Date) *
MM
/
DD
/
YYYY
Last grade completed (Minimum age requirement: Child MUST have finished Kindergarten in the recent school year) *
Medical or other information we need to know (please include allergies) *
Your answer
Emergency Contacts (other than listed above/Name & Phone number) *
Your answer
Who may pick up your child at the end of each VBS day? *
Your answer
Does your child attend Sunday School? If so, where?
Your answer
If your child is visiting our church, who is he/she a guest of?
Your answer
Do we have permission to photograph your child? *
May we have permission to use your child's photograph for the purpose of promotion? *
Additional Information
Your answer
A copy of your responses will be emailed to the address you provided.
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