VBS 2017: Child Registration Form
VBS is July 10-14, 2017, from 5:30 to 7:30 pm. Children age 4 through completed 5th graders will participate in children's VBS programming.
Complete all items to register each child for VBS. Please contact erin@southcitychurch.com with any questions.
Child's Full Name
Your answer
Age
Your answer
Grade Completed
Your answer
Phone Number
Your answer
Parent/Guardian Name & Address
Your answer
Emergency Contact
Please provide the name and telephone number of at least one adult who may be called in case of an emergency if the primary parent/guardian listed above is unavailable.
Your answer
Does the child have any allergies?
Dinner will be served to VBS children each night so please be very specific when listing allergies.
Your answer
Who is allowed to pick up the child?
Please list the names of any adults (in addition to the primary parent/guardian listed above) who may pick up the child.
Your answer
I give permission for my child to participate in VBS at South City Church.
Please type your name to agree with the statement above and register for VBS.
Your answer
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