VBS Registration Form
Please provide your child's details, allergies, emergency contacts, and medical information to complete the registration. **Please fill out one form per child.
Participant's Full Name
*
First Name
Last Name
Parent or Guardian Name
*
First Name
Last Name
Age of Participant
*
Please Select
0-3
4-6
7-9
10 +
Parent or Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent or Guardian Email Address
*
example@example.com
Emergency Contact Name (if different from parent/guardian)
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Does the participant have any allergies?
*
Does the participant have any medical conditions we should be aware of?
*
Picture Disclaimer
I give permission for my child's photo to be taken and used for Vacation Bible School purposes. Images may be posted to social media (facebook, instagram, etc.
*
Yes, I give permission.
No, I do not give permission.
Disclaimer:
Some activities involve water, and children may get wet. Please send your child with a change of clothes and a towel to ensure they stay comfortable throughout the day. Thank you!
Register
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