True North VBS Registration
New Life Baptist Church, Milton FL (July 6th-10th 4:30pm until 8:00pm)
CONTACT INFORMATION
Name
Child's First Name
Child's Last Name
Child's Age:
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent's Name
First Name
Last Name
Parent Email
example@example.com
Parent Phone Number
Format: (000) 000-0000.
Any Medical needs or Allergies we need to know about? (please include food allergies)
Back
Next
Last Grade Completed:
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th grade
5th grade
Emergency Contact
#1 Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
#2 Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Who can Pick up your child?
Name
First Name
Last Name
Name
First Name
Last Name
May we have permission to photograph your child?
yes
no
Submit
Should be Empty: