CGMC VBS 2025

VBS 2025 Registration

VBS is available for children 4 years old to just completed 6th grade.
How many children are you registering?*
Child Information
First Child
Child's Name*

First NameLast Name
Child's Birth Date*

MonthDayYear
Last Grade Completed*
Does your child have any allergies we need to know about?*

YesNo
Please list the allergies your child has:
Medical or other information we may need to know about the child *
Second Child
Child's Name*

First NameLast Name
Child's Birth Date*

MonthDayYear
Last Grade Completed*
Does your child have any allergies we need to know about?*

YesNo
Please list the allergies your child has:
Medical or other information we may need to know about the child *
Third Child
Child's Name*

First NameLast Name
Child's Birth Date*

MonthDayYear
Last Grade Completed*
Does your child have any allergies we need to know about?*

YesNo
Please list the allergies your child has:
Medical or other information we may need to know about the child *
Fourth Child
Child's Name*

First NameLast Name
Child's Birth Date*

MonthDayYear
Last Grade Completed*
Does your child have any allergies we need to know about?*

YesNo
Please list the allergies your child has:
Medical or other information we may need to know about the child *
Child Release Information
Parent/Legal Guardian Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Names of Persons to which the child (children) may be released to each night after VBS *

First NameLast Name
Full Name*

First NameLast Name
Full Name

First NameLast Name
Full Name

First NameLast Name
Are there any persons to which the child (children) may NOT be released to?*

YesNo
Who may you child (children) NOT be released to?
Emergency Contact 1 (other than parent/guardian listed above)*

First NameLast Name
Emergency Contact 1 Phone Number*

Area CodePhone Number
Emergency Contact 2 (other than parent/guardian listed above)*

First NameLast Name
Emergency Contact 2 Phone Number*

Area CodePhone Number
Media Release
By clicking the box below, I hereby Give Permission for photographs and/or video in which my child appears in to be used by the church in printed and/or electronic media, including the church's website.

I Agree
Should be Empty:

VBS 2025 Registration

Child Information

First Child

Second Child

Third Child

Fourth Child

Child Release Information

Media Release