Clone of Vacation Bible School Registration Form

San Fernando Church of God

8-10 Turton Street,Les Efforts East, San Fernando
Vacation Bible School Registration Form 2026

God's Provision and Power: Trust the Living God
CHILD'S INFORMATION
Name

First Name Last Name
Birth Date

DayMonthYear
Date
Age
Gender
Have you previously attended VBS at our church?
If yes, what year?
Home Church (if any)
EMERGENCY CONTACTS
Please list the first and last names and phone numbers off ALL adults who are allowed to pick up this child. The child will only be released to these people.
Relationship to child
Primary Guardian

First NameLast Name
Phone Number
Format: (000) 000-0000.
Alternate Guardian #1

First NameLast Name
Relationship to child
Phone Number
Format: (000) 000-0000.
Medical Information
Please list all allergies -- or type "none" if there are none
Does your child carry an medications? (please note: if yes, it is the responsibility of the child's parent and or guardian to ensure the child has his/her medication at every drop off and pick up)
Additional Information
Please list all medical concerns -- or type "none" if there are none
Photo and Video Consent Clause By enrolling my child in Vacation Bible School, I give permission for San Fernando Church of God to take photographs and videos of my child during VBS activities. These images may be used for church-related purposes, including but not limited to social media,newsletters, and future promotional materials. I understand that no personal information (such as full names) will be shared without additional consent.
By submitting this form, I ackowledge I have read and understand the above information.
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San Fernando Church of God

Vacation Bible School Registration Form 2026

Medical Information

Additional Information