JOY STORY VBS Van Alstyne Church of Christ

JOY STORY VBS
Name
Parent/Guardian Name
Address
Email Address
example@example.com
Phone Numbers: Home
Format: (000) 000-0000.
Cell
Work
Date of birth

MonthDayYear
Date
Age
Last school grade completed
Home Church (if any)
Friends of your child at this church
Special Needs/Allergies/Medical Information/Other
Emergency Contacts
Name
Phone
Format: (000) 000-0000.
Name
Phone
Format: (000) 000-0000.
Name(s) of person(s) who may pick up this child from VBS
Photo Release: Van Alstyne Church of Christ has my permission to use my child's photograph publicly in VBS materials. I understand the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.
YesNo
Should be Empty:

JOY STORY VBS