Vacation Bible School Registration Form
Saving Grace Bible Church, June 16-18, 9:00-11:30 a.m.
Please complete all sections of the form.
Parent/Guardian Names:
*
Parent/Guardian Phone Number(s)
*
Format: (000) 000-0000.
Format: (000) 000-0000.
Home Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Email
*
example@example.com
Name of Child #1
Grade in School (Fall of 2026)
Child #1 Birth Date
-
Month
-
Day
Year
Birth Date
Name of Child #2
Grade in School (Fall of 2026)
Child #2 Birth Date
-
Month
-
Day
Year
Birth Date
Name of Child #3
Grade in School (Fall of 2026)
Child #3 Birth Date
-
Month
-
Day
Year
Birth Date
Name of Child #4
Grade in School (Fall of 2026)
Child #4 Birth Date
-
Month
-
Day
Year
Birth Date
Are there any special needs, allergies, medical, or health related concerns? (Please give Name of Child and Description)
Name of Child and Description
Emergency Contact Names and Phone Numbers
Who will be picking up your child from VBS each day?
Photo Consent:
On occasion Saving Grace Bible Church uses photo and video on its website, social media sites, and for other church related publicity. Saving Grace will not identify minors by name when photos are online.
Do you give photo consent
Yes, I authorize
No, I do not authorize
Signature of Parent/Guardian:
Date
-
Month
-
Day
Year
Date
Please Review your answers before submitting this form.
Submit
Should be Empty: