2019 VBS Registration Form
Please complete one form for each child
Email address *
June 17 - 21, 9AM - Noon, at Feinberg Park in Crystal Lake
Child's Name *
Your answer
Birthdate *
Your answer
Grade Just Completed *
Parents Name(s) *
Your answer
Home Address *
Your answer
Parents/Caregiver Phone Number *
Your answer
Emergency Contact *
Your answer
Emergency Contact Phone Number *
Your answer
Persons Authorized to Pick Up Your Child
Your answer
Church Attendance?
If Yes, Home Church
Your answer
Allergies? Yes or No. If 'Yes', please list *
Your answer
Medical Concerns? Yes or No. If 'Yes', please explain *
Your answer
May we have permission to photograph your child?
May we use your child's photograph in a slide presentation?
Submit
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This form was created inside of First Baptist Church of Crystal Lake. Report Abuse - Terms of Service