GNAM City-Wide VBS Participant Registration
The Church community recognizes that it is our responsibility to be the practical hands and feet of Christ.
Parent/Guardian First Name *
Parent/Guardian Last Name *
Address 1 *
Address 2
City *
Phone Number *
Email address *
Home Church Affiliation
Emergency Contact Name *
Emergency Contact Relationship *
Emergency Contact Number *
Participant First Name: *
Participant Last Name *
Grade Entering *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Allergies *
Medical Concerns *
Shirt size
Participant 2 First Name:
Participant 2 Last Name
Grade Entering
Clear selection
Gender
Clear selection
Date of Birth
MM
/
DD
/
YYYY
Allergies
Medical Concerns
Shirt Size
Participant 3 First Name:
Participant 3 Last Name:
Grade Entering
Clear selection
Gender
Clear selection
Date of Birth
MM
/
DD
/
YYYY
Allergies
Medical Concerns
Shirt Size
Sign up for 1 Week (If your availability falls outside of the prearranged times, please add it to the other option) *
Required
Other Comments
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