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Child Registration
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* Indicates required question
Parent/Guardian Name
*
Your answer
Address
*
Your answer
Phone Number
*
Your answer
Phone Number Type
Choose
Home
Work
Cell Phone
How will you be attending VBS this year?
*
In Person
VBS to Go!
Child's Name
*
Your answer
Age
*
Your answer
Last Grade Completed in School
*
Your answer
Medical Information (Please include any food allergies.)
*
Your answer
Emergency Contacts with Phone Numbers
*
Your answer
Dismissal Information - Who may pick up your child at the end of each VBS day?
*
Your answer
If your child is visiting our church, who is he/she a guest of?
Your answer
May we have permission to photograph your child?
*
Choose
Yes
No
May we have permission to use your child's photograph for the purpose of promotion?
*
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Yes
No
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