2022 Vacation Bible School Registration

2022 Vacation Bible School Registration
1st Parent/Guardian's Name*

First NameLast Name
2nd Parent/Guardian's Name

First NameLast Name
1st Parent/Guardian's Preferred E-mail*
2nd Parent/Guardian's Preferred E-mail
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
1st Parent Home Phone*

Area CodePhone Number
1st Parent Cell Phone*

Area CodePhone Number
2nd Parent Home Phone

Area CodePhone Number
2nd Parent Cell Phone

Area CodePhone Number
Would you or a family member like to help with VBS? (Volunteers are required to have Safeguarding God's Children' certification. Please sign up to become certified at www.allsaintsatlanta.org/safeguarding.)

Yes, sign me up to volunteer.Yes, sign up someone else to volunteer from my family.
Name of Volunteer

First NameLast Name
Current Member Status:*

MemberAttendingVisitor
About Your Child

(Children must be entering kindergarten by the fall and potty trained)
First Child
First Child's Name*

First NameMiddle NameLast NameSuffix
Goes By*
e.g. Nickname
Date of Birth for First Child*

MonthDayYear
Age*
Grade Entering Fall 2022*
Gender of First Child*
Youth T-Shirt Size for First Child*
Allergies, special needs, etc.*
Second Child
Second Child's Name

First NameLast NameSuffix
Goes By
e.g. Nickname
Date of Birth for Second Child

MonthDayYear
Age
Grade Entering Fall 2022
Gender of Second Child
Youth T-Shirt Size for Second Child
Allergies, special needs, etc.
Third Child
Third Child's Name

First NameMiddle NameLast NameSuffix
Goes By
e.g. Nickname
Date of Birth for Third Child

MonthDayYear
Age
Grade Entering Fall 2022
Gender of Third Child
Youth T-Shirt Size for Third Child
Allergies, special needs, etc.
Fourth Child
Fourth Child's Name

First NameMiddle NameLast NameSuffix
Goes By
e.g. Nickname
Date of Birth for Fourth Child

MonthDayYear
Age
Grade Entering Fall 2022
Gender of Fourth Child
Youth T-Shirt Size for Fourth Child
Allergies, special needs, etc.
Additional Information
Anything else we need to know?
Emergency Contacts
Contact Name*

First NameLast Name
Contact Phone*

Area CodePhone Number
Alt. Contact Name

First NameLast Name
Alt. Contact Phone

Area CodePhone Number
Payment Information
Registration is $50 for the first child and $30 for each additional child.
I will pay by check
Please make your check payable to All Saints’ Episcopal Church, write “Vacation Bible School” in the memo line, and mail it to 634 W Peachtree Street NW, Atlanta, GA 30308.
Payment

Child Registration ($50.00)Additional Child ($30.00 per child)
Number of Additional Children
All Saints’ offers Aftercare from 12:30 - 5:00 p.m. The first child is $60 and each additional child is $40.
Aftercare Payment (Do not select the options below if you are not opting in for the Aftercare program)

Child Registration ($60.00)Additional Child ($40.00 per child)
Number of Additional Children for Aftercare
Payment Type
Calculation

Reservations

USD

Payment Method
Credit	Express

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Should be Empty:

2022 Vacation Bible School Registration

About Your Child

First Child

Second Child

Third Child

Fourth Child

Additional Information

Emergency Contacts

Payment Information