Vacation Bible School Registration
Child's Name
*
Child's gender
*
Child's age
*
4
5
6
7
8
9
10
11
Date of Birth
*
-
Month
-
Day
Year
Children must be between 4 and 11 years old.
Last school grade completed
*
Last school grade completed
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home telephone
*
Please enter a valid phone number.
Name of Parents:
*
Parent/caregivers cellphone
*
Please enter a valid phone number.
Email address
*
example@gmail.com
Home Church Name
*
If none, type N/A
Allergies, medical conditions, or special needs
*
In case of an emergency, contact:
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Relationship to child:
*
I grant Calvary Community Church permission to take a photo or a video of my child participating in VBS. Photos will not be published online.
*
Yes, I do give my permission.
No, I do not give my permission.
Submit
Should be Empty: