Form
HOLY TRINITY "RENEW" VBS REGISTRATION FORM
Child's Name
First Name
Last Name
Parent/Guardian's Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone Number
Please enter a valid phone number.
Cell Phone Number
Please enter a valid phone number.
Email
example@example.com
Child's Age
Last School Grade Completed
Home Congregation (if any)
In case of emergency (if parent/guardian can not be reached)
First Name
Last Name
Emergency Phone Number
Please enter a valid phone number.
Relationship to child
Please list any allergies (including food allergies) the VBS staff should be aware of
Person who will pick up child at the end of each VBS day
First Name
Last Name
Phone Number
Please enter a valid phone number.
Signature
Submit
Should be Empty: