Vacation Bible School Registration

Child Registration

Please complete one section for each child attending VBS.
Child’s Name

First NameLast Name
Age
Grade
Church Home
Any Allergies
T-Shirt Size
Emergency Contact 1 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact 1 Name

First NameLast Name
Emergency Contact 1 Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Emergency Contact 2 Name

First NameLast Name
Emergency Contact 2 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact 2 Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Should be Empty:

Child Registration