VBS REGISTRATION

Parent/Guardian's Name

Parent/Guardian's Email

Parent/Guardian's Phone

Parent/Guardian's Address

Child #1 Name

Child #1 Age
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Child #1 Gender
MaleFemale

Child #2 Name

Child #2 Age
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Child #2 Gender
MaleFemale

Child #3 Name

Child #3 Age
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Child #3 Gender
MaleFemale

Any additional comments including important medical and/or allergy information:

If there is a 'different' person that should be contacted in the event of an emergency, please list their name, evening phone number, and relationship below:

I give permission for any pictures of myself and/or registered children/minors to be displayed publically on social media or publications:
YESNO

By submitting this registration, I give my child permission to participate in any and all church Vacation Bible School activities.