Ocean Commotion VBS Registration Form

Ocean Commotion VBS Registration Form

Please fill out this form to register your child for Ocean Commotion VBS and provide necessary details.
Child's Full Name

First NameLast Name
T-Shirt Size
Gender
Birthdate

MonthDayYear
Date
Grade Completed
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Parent / Guardian Name

First NameLast Name
Home Phone
Please enter a valid phone number.Format: (000) 000-0000.
I consent to receive text messages at the cell phone number provided above regarding Ocean Commotion VBS registration, reminders, and updates. Message and data rates may apply. Reply STOP to opt out.
Work Phone
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Emergency Contact Name

First NameLast Name
Relationship to Child
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Please Place My Child With
Name of Home Church
Food Allergies?
If yes, please list food allergies
Medical Concerns?
If yes, please explain medical concerns
Should be Empty: