Welcome to Vacation Bible School Registration!
June 5-9, 2017
start
 
Child's Name (First/Last) *

 
Parent/Guardian Name (First/Last)

 
Home Address

 
Home Phone

 
Work Phone

 
Cell Phone

 
Email Address

 
GRADE JUST COMPLETED
(Date of Birth for Preschoolers ONLY)
Preschoolers Must Be Potty Trained

 
Medical or Other Information We Need to Know (Please include any food allergies)

 
Emergency Contacts (while your child is with us at VBS)

 
Name

 
Phone Number

 
Name

 
Phone Number

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

 
Do you attend Sunday School (Yes/No)? If so where?

 
If you are visiting our church, how did you hear about VBS?

 
May we have permission to photograph your child?

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

     
Thank you for registering for Vacation Bible School! Looking forward to seeing you June 5th!
again
Powered by Typeform
Powered by Typeform