Living Grace Baptist Church
Children's Program, AWANA & VBS Registration and Consent Form (If you have already registered for VBS, all you need to do is click on the field "already registered" after date and name.)
Date
*
-
Month
-
Day
Year
Date
Parent's/Guardian's Information
*
First Name
Last Name
No need to register again! Just let us know how you have "already registered" your child(ren):
Vacation Bible School
Sunday School
Children's Church
Special Events
AWANA Program
E-mail
Phone Number to contact
*
-
Area Code
Phone Number
Does this phone number accept a text message?
Yes
No
Second Emergency Contact Number
-
Area Code
Phone Number
Second Emergency Contact Person's Information
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How many children will be participating from your family?
Please check all that apply
I have read and give my consent for my child(ren) to participate in activities at Living Grace Baptist Church
I give permission for my child(ren) to receive bug spray
I give permission for my child(ren) to receive suntan lotion
I give permission for pictures of my child(ren) to be taken?
Adults participating?
Signature
*
May we contact you for future events?
Yes
No
How did you find out about this event? Check all that apply, please.
Radio (Broadcast or Radio Facebook)
Newspaper
Facebook
Church Sign
Church Communication
E-mail notification
Website
Nextdoor Neighborhood
Other
Are you a foster/adoptive parent interested in finding out about Project 1.27
Yes
No
Please verify that you are human
*
Register
Should be Empty: