Youth Registration Form
Irvine Community Church Summer VBS Trip: July 11-19
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Your Email
example@example.com
Your age by July 11th
Please Select
14
15
16
17
18
Old
What size t-shirt are you? (Adult sizes)
Please Select
XS
S
M
L
XL
XXL
XXXL
What is your current grade?
Please Select
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Please list any food allergies:
Please list any medication allergies:
What are you looking forward to most about this trip?
Where would you like to help in VBS? *No guarantees*
Classroom
Games
Snacks
Stage
Crafts
Anywhere
Other
Parent Information
Legal guardian
Primary Parent Contact
First Name
Last Name
Parent Email for contact
example@example.com
Parent Signature
Submit
Should be Empty: