Living Word Kidz VBS Registration

VBS Registration Form

Living Word Kidz Vacation Bible School Registration Form. Saturday, July 25th @ 8:45am Registration and VBS 9:00am - 2:30pm
Child's Name

First NameLast Name
Birth Date

MonthDayYear
Grade
Parent/Family/Guardian Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Home
Format: (000) 000-0000.
Phone Cell
Format: (000) 000-0000.
Work Number
Format: (000) 000-0000.
Home Church (if any) and Friends of your child at this Church
Special Needs / Allergies / Medial Information / Other:
Emergency Contact #1 Name

First NameLast Name
Emergency Contact #1 phone
Format: (000) 000-0000.
Emergency Contact #2 Name

First NameLast Name
Emergency Contact #2
Format: (000) 000-0000.
Name (s) of person (s) who may pick up this child from VBS
Photo Release:

Living Word Fellowship Church/VBS has my permission to use my child's photograph publically in VBS materials. I understand the images may be used in print publications, online publication, presentations, websites, and social media. I also understand that no royality, fee, or other compensation shall become payable to me by reason of such use. By clicking submit I agree.
Rome: Paul and the underground church
Should be Empty:

VBS Registration Form