VBS

July 24th thru 28th, 9:00–Noon

SIGN UP HERE

We accept children going into Kindergarten through sixth grade

Child Name:

Parent/Guardian Name:

Child Birthdate (x/x/xxxx) :

Last grade completed in school:

Address: (street address and Zip Code)

Mailing Address (if different):

Home Phone Number:

Work Phone Number:

Cell Phone Number:

Email:

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

Emergency Contacts:

Name:

Phone:

relationship to child:

Name:

Phone:

Dismissal Information:

Who may pick up your child at the end of each VBS day? :

Give us a password, to pick up your child :

Other Information:

Do you attend Sunday School? If so where?:

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

May we have permission to photograph your child?
YesNo

May we have permission to use your child's photograph for the purpose of promotion?
YesNo

 

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