Clone of 2025 VBS Registration

Child's Name

First NameLast Name

Gender

Date of Birth

Age Group (Years Old)

Any Known Allergies

All Known Allergies

Any Medical/Special Needs

Medical/Special Needs

Child's Name

First NameLast Name

Gender

Date of Birth

Age Group (Years Old)

Any Known Allergies

All Known Allergies

Any Medical/Special Needs

Medical/Special Needs

Child's Name

First NameLast Name

Gender

Date of Birth

Age Group (Years Old)

Any Known Allergies

All Known Allergies

Any Medical/Special Needs

Medical/Special Needs

Child's Name

First NameLast Name

Gender

Date of Birth

Age Group (Years Old)

Any Known Allergies

All Known Allergies

Any Medical/Special Needs

Medical/Special Needs

Child's Name

First NameLast Name

Gender

Date of Birth

Age Group (Years Old)

Any Known Allergies

All Known Allergies

Any Medical/Special Needs

Medical/Special Needs

Child's Name

First NameLast Name

Gender

Date of Birth

Age Group (Years Old)

Any Known Allergies

All Known Allergies

Any Medical/Special Needs

Medical/Special Needs

By completing and signing this registration, you give permission for O'Fallon Assembly of God to take video and pictures of attendee for general media use, including but not limited to event recaps, video announcements, church social media accounts, and future church promotion and marketing. In addition, you hereby release, discharge, and otherwise indemnify O'Fallon Assembly of God and all associated personnel and volunteers against any claim by or on behalf of attendee should any accident or injury occur during or at the OAG Vacation Bible School.

Date Signed

Parent/Guardian Signature

Comments and/or Questions:

VBS Registration

Parent's Contact Information

Child's Information

Child's Information

Child's Information

Child's Information

Child's Information

Child's Information

Liability Information