Registration Form
(One Per Child)
Child's name:
*
Child's gender:
*
Child's age:
*
Date of birth:
*
-
Month
-
Day
Year
Date
Last school grade completed:
*
Name of parent(s):
*
Street address:
*
City, State, ZIP:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home telephone:
Format: (000) 000-0000.
Parent/caregiver's cellphone:
*
Format: (000) 000-0000.
Home email address:
*
example@example.com
Home church:
Allergies, medical conditions, or special needs:
In case of emergency, contact:
*
Phone:
*
Format: (000) 000-0000.
Relationship to child:
*
Permission to photocopy this resource from Group's True North VBS granted for local church use. Copyright © 2025 Group Publishing, Inc., Loveland, CO. group.com/vbs
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