VBS Registration Form - Alternative Ministries

VBS Registration Form

Please fill the form below and let us know if you give go ahead for this child's participation
- Participant Name
  
  First NameLast Name
- Date of Birth
  
  MonthDayYear
  Date
- Grade level for 2026-2027 school year
- T-Shirt Size
- Parent / Guardian's Name
  
  First NameLast Name
- Phone Number (Daytime / Emergency)
  Format: (000) 000-0000.
- Phone Number (Evening)
  Format: (000) 000-0000.
- E-mail
  example@example.com
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip CodeCountry
- Do you currently have a home church?
- If Yes, where?
- Tell us how you learned about VBS at Alternative Ministries:
- CONSENT FOR MEDICAL TREATMENT | As the parent or legal guardian of the above-named participant, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor. This care may be given under whatever conditions are necessary to preserve the life, limb, or well-being of my dependent.
- Medical Problems/ Allergies / Special Needs
- By signing and submitting this registraiton form, you understand and agree to all policies.
- Parent/Guardian Name
  
  First NameLast Name
- Parent/Guardian Signature
- Today's Date
  
  MonthDayYear
  Date
- Comments and/or Questions:
- Should be Empty: