Special needs, allergies, medical information, or other information
Your answer
Does your child have life-threatening allergies, asthma, or medical conditions we should be aware of? *
Emergency contact 1 name *
Your answer
Emergency contact 1 phone *
Your answer
Emergency contact 2 name *
Your answer
Emergency contact 2 phone *
Your answer
Names of people who may pick up this child from VBS *
Your answer
If anyone is legally prevented from picking up this child, please list their name here and provide our registration team with a copy of the confirmation.
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All children should be picked up and dropped off inside the church. Due to safety concerns, children may not be responsible for signing in siblings. *