Vacation Bible School Registration Form

Vacation Bible School Registration Form
Institution Name
STUDENT INFORMATION
Name

First NameLast Name
Birth Date

DayMonthYear
Date
Gender
Have you previously attended VBS?
If yes, what year?
Home Church (if any)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
EMERGENCY CONTACTS
Please list the first and last names and phone numbers off ALL adults who are allowed to pick up this child. The child will only be released to these people.
Primary Guardian

First NameLast Name
Relationship to child
Phone Number
Format: 0000 000 000.
Email
example@example.com
Alternate Guardian #1

First NameLast Name
Relationship to child
Phone Number
Format: 0000 000 000.
Email
example@example.com
Alternate Guardian #2

First NameLast Name
Relationship to child
Phone Number
Format: 0000 000 000.
Email
example@example.com
Medical Information
Please list all allergies -- or type "none" if there are none
Please list all medical concerns -- or type "none" if there are none
Additional Information
VBS photos/videos are taken for promotional purposes related to Victory Faith Church in the Garden and Vacation Bible School. These pictures appear in various media outlets such as YouTube, our Facebook and Instagram pages and webpage. Do you allow your child to be included in these photos/videos? (I waive any right that I may have to inspect or approve the finished product or written copy, that may be used in conjunction therewith, or the use to which it may be applied.)
By submitting this form, I ackowledge I have read and understand the above information.
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Vacation Bible School Registration Form

Medical Information

Additional Information