VACATION BIBLE SCHOOL REGISTRATION FORM
6055 Azle Avenue
Fort Worth, TX 76135
817-237-1888
stannesfw.org
June 8 June 12, 2026
5:30 P.M. to 8 P.M.
For children ages 3 thru 12
Parents/Guardians:
*
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone:
Format: (000) 000-0000.
Cell Phone 1:
*
Format: (000) 000-0000.
Cell Phone 2:
Format: (000) 000-0000.
Email 1:
example@example.com
Email 2:
example@example.com
By providing an email address, we can notify you about next year's VBS, etc.
Person authorized to pick up child other than parents:
Phone:
Format: (000) 000-0000.
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone
First Name
Last Name
Information about Child 1:
Child 1:
*
Age:
*
Grade Completed:
*
Any food allergies or other information we should know about your child?
T-shirt size:
*
Small
Medium
Large
X-Large
Register additional children on the back.
How did you find out about VBS at St. Anne's?
I attend St. Anne's
Sign
Friend/relative
Website
Other
How can we help you and your family?
Send me information about St. Anne's Church.
Have Father DeWayne Adams contact me.
Prayer Requests/Other:
Parental Consent
General permission and medical consent: I give permission for my child(ren) to attend Vacation Bible School at St. Anne's Church. In case of illness or accident, I give permission to have my child(ren) evaluated and treated by available medical personnel. I understand that a reasonable attempt will be made to notify me in such an event. I also understand that no obligation or responsibility in regard to rendering treatment or medication is assumed or undertaken as a consequence of this activity; notwithstanding, the adults in charge have permission to authorize any medical care which, in their judgment, they deem necessary and to sign any medical forms necessary on my child(ren)'s behalf and I do hereby release The Episcopal Diocese of Fort Worth, St. Anne's Church and all persons connected therewith from any liability, claim and expense related to any such condition, circumstance or treatment.
Photo consent: I give my permission for photos to be taken of my child(ren) during VBS and for these photos to be used by St. Anne's Church in advertising.
Parent/Guardian signature:
*
Date:
*
-
Month
-
Day
Year
Date
Back
Next
Child 2:
Age:
Grade Completed:
Any food allergies or other information we should know about your child?
T-shirt size:
Small
Medium
Large
X-Large
Child 3:
Age:
Grade Completed:
Any food allergies or other information we should know about your child?
T-shirt size:
Small
Medium
Large
X-Large
Child 4:
Age:
Grade Completed:
Any food allergies or other information we should know about your child?
T-shirt size:
Small
Medium
Large
X-Large
Child 5:
Age:
Grade Completed:
Any food allergies or other information we should know about your child?
T-shirt size:
Small
Medium
Large
X-Large
Preview PDF
Submit
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