2019 VBS Adult Registration
Please fill out this form completely. This is for adults who will be attending the Adult Class.
Adult #1 First Name *
Your answer
Adult #1 Last Name *
Your answer
Adult #1 T-Shirt Size *
(Everyone Gets a T-Shirt!)
Adult #2 First Name
Your answer
Adult #2 Last Name
Your answer
Adult #2 T-Shirt Size
(Everyone Gets a T-Shirt!)
Address
(Street, City, State, Zip)
Your answer
Mailing Address if Different
Your answer
Contact Phone *
Your answer
Email Address
Your answer
Medical or other information we need to know.
Please include any food allergies.
Your answer
Emergency Contact #1 Name: *
Your answer
Emergency Contact #1 Phone Number *
Your answer
Emergency Contact #2 Name: *
Your answer
Emergency Contact #2 Phone Number *
Your answer
If you are visiting our church, who are you a guest of?
Your answer
Would you like to learn more about our church? *
May we have permission to photograph you? *
May we have permission to use your photograph for the purpose of promotion? *
Please type your full name. This will serve as your signature on this form. *
Your answer
Today's Date *
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