VACATION BIBLE SCHOOL 2019
Children Registration Form
REGISTRATION
Two Saturdays of Free Fun!!
Child 1 First and Last Name *
Your answer
Grade ENTERING school Fall 2019 *
Please list below anything your child is allergic to. If nothing type "none". *
Your answer
Does your child have any special needs or requires any special medications? Please explain otherwise type "none" - thank you! *
Your answer
Child 2 First and Last Name
Your answer
Grade ENTERING school Fall 2019
Please list below anything your child is allergic to. If nothing type "none".
Your answer
Does your child have any special needs or requires any special medications? Please explain otherwise type "none" - thank you!
Your answer
Child 3 First and Last Name
Your answer
Grade ENTERING school Fall 2019
Please list below anything your child is allergic to. If nothing type "none".
Your answer
Does your child have any special needs or requires any special medications? Please explain otherwise type "none" - thank you!
Your answer
For additional children please add all information below
Your answer
Parent/Guardian First and Last Name *
Your answer
Relationship to the child(ren) *
Cell phone number *
Your answer
Name and cell phone number of anyone who may pick up your child this week (other than yourself)
Your answer
In case of an emergency and if we cannot contact you, please provide the name of a person we can reach *
Your answer
Phone Number of the above person *
Your answer
Photos and publications: I am fine with my child being possibly photographed and/or videoed for the purpose of training, documentation and/or publicity of Vacation Bible School *
By typing my name below, I agree to the following: Although children will be under constant supervision and on church premises at all times, accidents may happen. I do hereby release the Arabic Church of Houston and any of its employees or volunteers from any and all claims of liabilities of whatever nature, individually or collectively, that might arise while my child is attending VBS. *
Your answer
Thank you for entrusting us with your children!
For more information visit our website at www.achouston.org or email us at info@achouston.org
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