JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Vacation Bible School - Covenant Community Church
Online Registration form - ONE SUBMISSION PER CHILD PLEASE
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Child's Last name
*
Your answer
Child's first name
*
Your answer
Child's age at start of VBS
*
Choose
4
5
6
7
8
9
10
11
12
Grade just completed
*
Choose
Pre-K
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
Parent's Name
*
Your answer
Street address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip code
*
Your answer
Best contact phone number (in the unlikely event we need to reach you)
*
Your answer
Cell phone number (if different from above)
Your answer
Email address
Your answer
Emergency contact name
*
Your answer
Emergency contact number
*
Your answer
Medical release
*
You must check the following box.
Should an emergency arise, the leaders of VBS have my permission to obtain medical care for my child.
Required
Allergies
Please list any allergies for your child.
Your answer
Church affiliation
Your answer
How did you hear about us?
Your answer
Will you attend the Ice Cream Social Thursday evening of VBS? (You can still sign up during VBS!)
Yes, we will attend
No, we will be unable to attend
Unsure right now
If you will be able to attend the Ice Cream Social, how many (including you) will join us? (Please respond on one form only! - Thank You).
Your answer
Submit
Page 1 of 1
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
