Vacation Bible School Permission Form Denham Street Baptist Church

Vacation Bible School Permission Form Denham Street Baptist Church
Child Information
Child's Full Name

First NameLast Name
Preferred Name
Date of Birth

MonthDayYear
Date
Age
Last School Grade Completed or Grade Entering
Parent/Guardian Information
Parent/Guardian Full Name

First NameLast Name
Street Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Cell Phone #1
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone #2
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Emergency Contact
Emergency Contact Name
Relationship to Child
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Authorized Pickup
Who may pick up your child?
Medical and Special Needs
Allergies or Special Needs (type 'None' if not applicable)
Dietary Restrictions
Medications or Medical Conditions
Permissions and Consent
Do you give permission for your child to be photographed or video recorded during VBS activities?
I give my child permission to participate in any and all church Vacation Bible School activities.
Additional Notes or Comments
Should be Empty: