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VBS Child Registration Form
For our Vacation Bible School records, we ask that you please fill out the following information about you and your child. Thank you!
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* Indicates required question
Child's first name:
*
Your answer
Child's last name:
*
Your answer
Child's gender:
*
Male
Female
How old is your child?
*
Your answer
What is your child's date of birth?
*
MM
/
DD
/
YYYY
What is the last school grade your child has completed?
*
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Names of the parents/legal guardians:
*
Your answer
Your child's home address
Your answer
Home phone number:
*
Your answer
Parent/Guardian cellphone number:
*
Your answer
Do you have a home church?
Yes
No
Maybe
Clear selection
Please list any allergies, food restrictions, or medical conditions that your child has. If your child has none, please put 'none'.
*
Your answer
In the event of an emergency, please list the name of an emergency contact, a phone number, and the relationship the contact has to the child
*
Your answer
IMPORTANT: Please check one of the boxes below regarding your child having their photograph taken. Throughout the week, VBS crew members will be taking pictures of children to put together a picture slide show for the last night of VBS. This slide show will also be shown to the church's congregation the following Sunday. No pictures will be posted on any social media platform. You MUST check one of these options:
*
Yes, I give consent for my child to have their photo taken and presented in a slide show for the last day of VBS and for the church's congregation to view
No, I do not give consent for my child to have their photo taken
Required
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