Vacation Bible School Registration Form

Vacation Bible School Registration Form

Please fill out the form to register for VBS.
Child's Full Name

First NameLast Name
Child's Age
Child's Full Name

First NameLast Name
Child's Age
Child's Full Name

First NameLast Name
Child's Age
Child's Full Name

First NameLast Name
Child's Age
Child's Full Name

First NameLast Name
Child's Age
I waive and release all claims against The Church In Wisconsin, with respect to any injury on church property
Signature

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I give The Church In Wisconsin permission to use and publish the photograph(s) of my child(ren), whether in print or electronic media in conjunction with VBS activities. I agree that The Church In Wisconsin can use the photograph(s) of my child(ren) without his/her first name, for any lawful purposes, including for example, such purposes as publicity,illustration, advertising, video production, and web content. (Type name below to authorize)
Signature

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Parent/Guardian's Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.
Allergies or Medical Conditions
Should be Empty: