Registration Form
Thank you for registering for this year's VBS for Rising 2nd Graders -12th. VBS will be June 23-26 from 11:30 am - 3:30 pm. Please contact Melanie@sminster.com for questions. *Registration spots are limited. Your submission may not be accepted, but you will be informed if not.
Child Participants
Special Needs / Allergies / Concerns:
By signing this form, I give Southminster Presbyterian Church the permission to photograph my child(ren) and use their picture solely for the church’s website or social media pages. Southminster Presbyterian Church will never publish a child’s name with any of its publications.
*
I agree and give consent
I do not give consent
By signing this form, I grant permission to employees and volunteers of Southminster Presbyterian Church to transport my child(ren) during vacation bible school activities.
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I agree and give consent
I do not give consent
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Parent/Gardian:
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First Name
Last Name
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone:
*
Format: (000) 000-0000.
E-mail:
*
example@example.com
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Emergency Contact:
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First Name
Last Name
Emergency Contact Phone:
*
Format: (000) 000-0000.
If someone other than parent/guardian will be picking up your child, please provide their contact info:
Print Form
Submit
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