VBS Registration Form

VBS Registration Form 2024

Genesis to Revelation
Living Word Fellowship VBS Saturday, July 20th 9am - 2pm
Child's Name

First NameLast Name
Parent/Family/Guardian Full Name:

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Home
Please enter a valid phone number.
Phone Cell
Please enter a valid phone number.
Phone Work
Please enter a valid phone number.
Date of Birth

MonthDayYear
Date
AGE Last School grade completed
Home Church (if any) and Friends of your child at this Church
Special Needs / Allergies / Medical Information / Other:
Emergency Contact #1

Full Name Phone Number
Emergency Contact #2

Full NamePhone Number
Name(s) of person(s) who may pick up this child from VBS
Photo Release:

Living Word Fellowship Church/ VBS has my permission to use my child's photograph publicly in VBS materials. I understand the images may be used in print publications, online publiciations, presentations, websites,and social media. I also understand that no royality, fee, or other compensation shall become payable to me by reason of such use.
The Great Jungle Journey: Genesis to Revelation!
Should be Empty:

VBS Registration Form 2024