Vacation Bible School Registration
Child's Name
Parent/Guardian Name
Address
Mailing Address (if different)
Phone numbers (Please include area code)
Home
Work
Cell
E-mail
Age Information
Birth date
Last grade completed in school
Medical Information
Medical or other information we need to know. (Please include any food allergies.)
Emergrancy Contacts
Name
Phone Number
Dismissal Information
Who may pick up your child at the end of each VBS day?
Rides the bus Yes No
(Please advise the person picking up your child to be prepared to show their ID.)
Other Information
Do you attend Sunday School? If so, where? Yes No
If you are visiting our church, who are you a guest of?
May we have permission to photograph your child? Yes No
May we have permission to use your child's photograph for the purpose of promotion? Yes No