True North 2025 Registration

True North 2025 Registration

Connect Church VBS Registration
Parent/Guardian Information
Name:

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
Phone Number

Area CodePhone Number
Child #1 Information
Child's Name

First NameLast Name
Age During VBS
Birth Date

MonthDayYear
List allergy concerns: (If any)
List medical concerns: (If any)
Emergency Phone #:
Emergency Contact Relationship:
Child's Address
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
- Child #2 Information
- Child's Name
  
  First NameLast Name
- Age During VBS
- Birth Date
  
  MonthDayYear
- List allergy concerns: (If any)
- List medical concerns: (If any)
- Emergency Phone #:
- Emergency Contact Relationship:
- Child's Address
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Child #3 Information
- Child's Name
  
  First NameLast Name
- Age During VBS
- Birth Date
  
  MonthDayYear
- List allergy concerns: (If any)
- List medical concerns: (If any)
- Emergency Phone #:
- Emergency Contact Relationship:
- Child's Address
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- We are so excited to spend the week with your kids! If you have any questions or requests please let us know and we will get back to you as soon as we can!
- www.ourconnectchurch.org
- Should be Empty: