Vacation Bible School Registration
July 17-20, 5:30-7:00 (Optional meal @5:00)
First Christian Church 200 S. Limit Sedalia, MO
660-826-5300
Child's Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Age & Grade Just Completed
Your answer
Home Church
Your answer
Parent/Guardian Name
Your answer
Address (City, State, Zip)
Your answer
Email Address
Your answer
Best Contact Phone Number
Your answer
Alternate Phone Number
Your answer
Emergency Contact other than yourself (Please list 2, name and phone number)
Your answer
Dismissal Info: Please give the names of people other than yourself with authority to pick up your child
Your answer
Please list any concerns or behavioral issues you would like us to be aware of
Your answer
Please check below that you give permission for the child registered here to participate in the various activities that will take place during Vacation Bible School. In the event of an accident or emergency, I give permission for the appropriate first aid to be administered or for the child to be transported to an emergency facility, if necessary.
Required
Please check below if you give permission for your child to be photographed and that his/her photograph can be used on the church website or other publicly viewed sites.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms