Child Registration Form
August 12 th – August 16 th
PLEASE NOTE: ALL children will be picked up IN THE SANCTUARY daily at 11:30am. Children in Preschool, JK and SK will not be permitted to leave their bench until their parent/guardian arrives. Please be prompt.
Parent / Guardian Name *
Your answer
Phone Number *
Your answer
Address *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
Relationship to Child *
Your answer
How did you hear about our VBS Program? *
Your answer
First Child
Child Name *
Your answer
Grade (as of September 2019) *
Your answer
Food Allergies *
Your answer
Second Child
Child Name
Your answer
Grade (as of September 2019)
Your answer
Food Allergies
Your answer
Third Child
Child Name
Your answer
Grade (as of September 2019)
Your answer
Food Allergies
Your answer
Fourth Child
Child Name
Your answer
Grade (as of September 2019)
Your answer
Food Allergies
Your answer
Fifth Child
Child Name
Your answer
Grade (as of September 2019)
Your answer
Food Allergies
Your answer
Submit
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