Royal Oak church of Christ 2023 V.B.S.

Mystery Island V.B.S. 2023

REGISTRATION - Royal Oak church of Christ
Child(ren)'s Information
First Child's Name

First NameLast Name
Birth Date

MonthDayYear
Grade Just Completed
Gender

MaleFemale
T-Shirt Size

Youth X-SmallYouth SmallYouth MediumYouth LargeYouth X-Large
May we use pictures of your child on our Facebook Page?

YESNO
Second Child's Name

First NameLast Name
Birth Date

MonthDayYear
Grade Just Completed
Gender

MaleFemale
T-Shirt Size

Youth X-SmallYouth SmallYouth MediumYouth LargeYouth X-Large
May we use pictures of your child on our Facebook Page?

YESNO
Third Child's Name

First NameLast Name
Birth Date

MonthDayYear
Grade Just Completed
Gender

MaleFemale
T-Shirt Size

Youth X-SmallYouth SmallYouth MediumYouth LargeYouth X-Large
May we use pictures of your child on our Facebook Page?

YESNO
Fourth Child's Name

First NameLast Name
Birth Date

MonthDayYear
Grade Just Completed
Gender

MaleFemale
T-Shirt Size

Youth X-SmallYouth SmallYouth MediumYouth LargeYouth X-Large
May we use pictures of your child on our Facebook Page?

YESNO
Parent/Guardian Information
Name

First NameLast Name
Home Number
Cell Number
E-mail
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Emergency Contact Phone Number
If any children have any allergies, chronic illness, or medical conditions, please list their name(s) and details below.
Should be Empty:

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Mystery Island V.B.S. 2023