Bolif VBS Regisration

Bread of Life international Fellowship VBS Kids July 28th - 31st, 2022 1st - 7th Grade Registration

* Required Field
Parent/Guardian First Name*
Parent/Gurdian Last Name*
Child First Name*
Child Last Name*
2nd Child First Name
2nd Child Last Name
Gender*

MaleFemale
Age*
Grade Group*

1234567
2nd Child Grade Group

1234567
Date of Birth MM/DD/YYYY*
2nd Child Date of Birth MM/DD/YYYY
Address*
City*
State*

WAOther
Zip*
Best Phone*
Other Phone
Parent/Guardian Email*
Home Church
Allergies or other Medical Conditions*
Emergency Contact
Emergency Contact Phone
Emergency Contact Relationship
Comments
You have my permission and consent for my child to attend VBS, to participate in its activities, to receive emergency treatment if necessary and to allow photographs, videos, and interviews to be taken and published and used to illustrate, promote, and advertise activities at Bread of Life Internatianonal Fellowship. In signing below, I acknowledge that I have read and understand these instructions.
Signature Parent/Guardian*
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