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?
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?
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?
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?
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?
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.
Should be Empty:

VBS 2025 Registration

Child Information

First Child

Second Child

Third Child

Fourth Child

Child Release Information

Media Release