VBS Registration 2022

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

August 1 - 5 6:30 PM - 8:30 PM

Student Name *

Parent/Family/Guardian Name *

Address *

Phone Number *

Age and Date of Birth *

Last School Grade Completed *

Home Church

Allergies/Medical Conditions *

Emergency Contact Name/Phone/Relation *

Person(s) Approved for Pick-Up *

I grant Niles First Community Church of the Nazarene permission to use any photographs/video taken of my child at this event for any legal use, including but not limited to: publicity, illustration, advertising, and web and social media content. I understand that no royalty, fee, or other compensation shall become payable to me by reason of such use. *

Yes

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms