Vacation Bible School

Vacation Bible School

Kids K-6 grades
Child's Name*

First NameLast Name
Parent's Name*

First NameLast Name
Sibling's Name (If they are participating in VBS too)

First NameLast Name
Child's birthdate*
Age*
Grade in fall of 2023*
Email address*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address (If different than above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home phone number*
Cell phone number*
Name, relationship to child and phone number of Emergency contact:*
Permission to seek medical help if necessary:*
Allergies/Food Allergies/Medical Conditions:
T-shirt Size (Every child will get one.) Youth Sizes: XS, S, M, L, XL
Signature*

Clear
*We will be taking photos of the children all week and will present them in our slide show on Friday. These photos WILL NOT appear in any publication or on any website.
Should be Empty: