VBS Registration Form
Email *
Child's Name *
Parent/Guardian Name *
Address *
Mailing Address (if different)
Phone Number - Cell *
Phone Number - Home
Phone Number - Work
Birth Date *
Last grade completed in school *
Medical or other information we need to know (please include any food allergies) *
Emergency Contact (other than listed above) - name and phone number
Authorized pick-up people *
Does your child attend Sunday School? If so, where?
If your child is visiting our church, who are they a guest of?
May we have permission to photograph your child? *
May we have permission to use your child’s photograph for the purpose of promotion? *
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