The Family Church VBS Registration Form
Register to participate in our Vacation Bible School activities.
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Child's Full Name
*
First Name
Last Name
Child's Date of Birth
*
-
Month
-
Day
Year
Date
OHIP Number of Child Registered
Grade Completed
*
Please Select
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Allergies or Medical Conditions
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
Province
Postal / Zip Code
Consent to use your child's photo on The Family Church social media, and within church building (bulletin/slide show etc.)
Yes
No
Register
Should be Empty: