Vacation Bible School Registration

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It is understood that by enrolling your child, he/she has permission to participate in Cross of Grace's 2019 VBS, which will operate from June 24-28 from 9:00 a.m. to 12:00 p.m. Parents or authorized adults are responsible to check children in and out. All people authorized to pick up children will need to show proper identification before the child will be released. If you have any questions please contact our VBS Director, Janel Barr at janelk87@gmail.com

Child's Name (first and last) *

Birth Date (month/day/year) *

Age or last grade completed in school (Child must be at least 6 years old on June 24th to participate in this year's VBS) *

newborn - 24 months (For VBS Workers ONLY)

2 years old (For VBS Workers ONLY)

3 years old (For VBS Workers ONLY)

4 years old (For VBS Workers ONLY)

5 years old (For VBS Workers ONLY)

Kindergarten (For VBS Workers ONLY)

1st grade

2nd grade

3rd grade

4th grade

5th grade

6th grade

Please list any food allergies

Any other medical information we need to know?

Address *

City *

State *

Zip Code *

Parent name & mobile phone *

Parent email address *

Additional parent name & mobile phone

Additional parent email address

Emergency contact name & phone number (other than parents) *

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

Does your child attend Sunday School? If so, where?

Yes

If so, where?

If your child is visiting our church, who is he a guest of?

May we have permission to photograph your child? *

Yes

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

Yes

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