Summer Fun Registration

Child’s/Teen's name
Child’s/Teen's age
Date of birth

MonthDayYear
Date
Last school grade completed
Name of parent(s)
Street address
City
State
State
ZIP
Home telephone
Parent/caregiver’s cell phone
Parent/caregiver’s cell phone
Format: (000) 000-0000.
Home email address
example@example.com
Home church
Crew number or name (for church use only)
Allergies or other medical conditions
In case of emergency, contact
Phone
Format: (000) 000-0000.
Relationship to child
Permission to copy this resource from Group’s Hometown Nazereth VBS granted for local church use. Copyright © 2011, 2024 Group Publishing, Inc., Loveland, CO. group.com/vbs
Summer Fun Registration Form
Should be Empty:

Summer Fun Registration Form