Outlaws For Christ 2025 Vacation Bible School Registration Form

Outlaws For Christ 2025 Vacation Bible School Registration Form
Each Child Needs A Seperate Registration
Name*

First NameLast Name
Gender
Age*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number
Please enter a valid phone number.
Secondary Phone Number
Please enter a valid phone number.
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*
Medical Information
Please list all allergies -- or type "none" if there are none*
Does your child carry an epi-pen? (please note: if yes, it is the responsibilty of the child's guardian to ensure the child has the epi-pen at every drop off and pick up)*

YesNo
Please list all medical concerns -- or type "none" if there are none*
Additional Information
Please list the names of any other children (friends or family) that you would like placed in the same class as this child
By submitting this form, I ackowledge I have read and understand the above information.
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Each Child Needs A Seperate Registration