Vacation Bible School Student Registration Form
Roar: Life is Wild, God is Good
July 15-19, 2019 from 6:00 p.m. to 8:15 p.m.
Student's Full Name
Month / Day / Year
School Grade Completed
If in preschool, will your child attend Kindergarten next year?
Number and Street, City, State, and Zip Code
Parent's Cell Phone or Work Phone
Emergency Contact Name
In the event of an emergency, we will contact the parent specified on this form. Please list an alternate Emergency Contact in case we are unable to contact you.
Type of Emergency Contact
Emergency Contact Phone Number
Please list any allergies, dietary needs, or other needs.
Name of Home Church
Prince of Peace
I do not have a home church
If "Other Church" please list
Your Child's T-Shirt Size
Each registered VBS student will receive a free t-shirt.
Child's Small (6-8)
Child's Medium (10-12)
Child's Large (14-16)
Child's X-Large (18-20)
Would you like to purchase an adult t-shirt for $8 each?
If yes, please state in the box below the size you would like: adult small, medium, large, extra large, or 2XL AND the quantity of each size.
Do you grant permission for your child to be photographed and/or recorded? These images or recordings may be published on our church website or Facebook page.
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This form was created inside of New Bethlehem Presbyterian Church.
Terms of Service