Vacation Bible School Registration Form

Child's Name

Parent/Guardian Name

Address

Mailing Address (if different)

Phone Numbers, Home, Work, Cell

Last grade completed in School?

Please enter birth date (dd/mm/yyyy)

Medical Information or other information we need to know. (please include any food allergies.)

Emergency Contacts Name?

Emergency Contacts Phone Number?

Emergency Contacts Name?

Emergency Contacts Phone Number?

Dismissal Information. Who may pickup your child at the end of each VBS day?

Other Information: Do you attend Sunday School? Where?

If you're visiting our church, who are you a guest of?

May we have permission to photograph your child? Check if yes.

May we have permission to use your Child's Photo for the purpose of promotion? Check if yes.