Galactic Starveyors :: VBS 2017 Registration
Church at Tubac's Vacation Bible School 2017 Registration
Parent's Name: *
Example: John Smith
Your answer
Phone #: *
Example: (520)-555-5555
Your answer
E-mail Address:
Your answer
Mailing Address: *
Example: 123 Main St
Your answer
City: *
Example: Tucson
Your answer
Zip: *
Your answer
Do we have your permission to photograph your child(ren) to post on our church website, Facebook page, or show during a church service? *
We may take photos or video of children participating in various parts of VBS to post on our church website, Facebook page, or show during a church service. By Answering 'YES' you are granting us permission to do so.
How did you hear about our VBS?
Emergency Contacts (Other than listed above)
Emergency Contact #1 Name
Your answer
Emergency Contact #1 Phone #:
Your answer
Emergency Contact #2 Name
Your answer
Emergency Contact #2 Phone #:
Your answer
Other person(s) authorized to pick up your child(ren):
List the name of anyone you want to have permission to pick up your child(ren) from VBS.
Your answer
Child's Info
Child's Name: *
Example: John Smith
Your answer
Child's Age: *
Child's Food Allergies/Special Instructions:
Example: Allergic to peanuts
Your answer
Select T-Shirt Size: *
LIMITED AVAILABILITY. SIZE NOT GUARANTEED.
Would you like to register a 2nd child? *
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