VBS Around Gods World Registration

1

Parent / Guardian Names* This field is required.If only (1) parent, please apply "N/A" to the blank field.

Guardian 1 / First Name

Guardian 1 / Last Name

Guardian 2 / First Name

Guardian 2 / Last Name

Guardian 1 / Phone #

Guardian 2 / Phone #

Please enter your email

2

Child Information* This field is required.Child 1 If you have more than one child registering for VBS, please click "NEXT" to continue to the next child information form. If only registering one, please skip the next few forms until the next section.

CHILD 1 / FIRST NAME:

CHILD 1 / LAST NAME:

AGE:

GRADE:

ALLERGIES:

3

Child Information Child 2

CHILD 2 / FIRST NAME:

CHILD 2 / LAST NAME:

AGE:

GRADE:

ALLERGIES:

4

Child Information Child 3

CHILD 3 / FIRST NAME:

CHILD 3 / LAST NAME:

AGE:

GRADE:

ALLERGIES:

5

Child Information Child 4

CHILD 4 / FIRST NAME:

CHILD 4 / LAST NAME:

AGE:

GRADE:

ALLERGIES:

6

Child Information Child 5

CHILD 5 / FIRST NAME:

CHILD 5 / LAST NAME:

AGE:

GRADE:

ALLERGIES:

7

Child Information Child 6

CHILD 6 / FIRST NAME:

CHILD 6 / LAST NAME:

AGE:

GRADE:

ALLERGIES:

8

Home Congregation If Applicable.

9

Photo Approval* This field is required.Do you give Xenia Church of Christ the authorization to take photos of your children and use on our Facebook / Instagram page or website?

YESNO

10

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