North Jackson Church of Christ VBS Registration 2019
North Jackson's VBS will be held on June 12-14, 2019, from 6:30-8:30 p.m. Please complete the form below to register your child or children for this year's Vacation Bible School. Please complete all information to help us make this a safe and encouraging experience for you child. Please complete one form per child. Once you submit the first child, there will be a link to register another child.
Child's First Name *
First name please.
Your answer
Child's Last Name *
Last name please.
Your answer
Child's association with North Jackson *
Child's Age *
Child's Class or Group *
If this child is in school, indicate the grade he/she will enter in the fall. Ages 4 yo and above will be attending centers. Ages 3 and below will be in self contained classes
Child's T-Shirt Size: *
Does this child have any allergies, medical conditions or other special needs about which the VBS staff need to know? If not, please place "None" in the blank provided. *
Remember that refreshments will be served during VBS. Be sure to list any food allergies.
Your answer
Child's Street Address *
Your answer
Child's City and State *
Your answer
Child's Zip Code *
Your answer
Emergency Contact FIRST NAME: *
This needs to be a person in the building with the child who is authorized to make decisions for this child.
Your answer
Emergency Contact LAST NAME: *
This needs to be a person in the building with the child who is authorized to make decisions for this child.
Your answer
Emergency Contact CELL NUMBER: *
This needs to be a person in the building with the child who is authorized to make decisions for this child.
Your answer
First and last names of all individuals who are authorized to pick this first child up from VBS? *
In order to help ensure the safety of your children, children will only be released to authorized adults.
Your answer
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