Royal Oak Church of Christ Illumination Station VBS 2026

Royal Oak Church of Christ Vacation Bible School Registration Form

August 14-16, 2026
First Child Name

First NameLast Name
Age
Gender
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Child T-shirt Size
S / M / L / XL
Grade Level Just Finished
Does the child have any allergies? If yes, please list them below:
Does the participant have any medical condition that we should be aware of? If yes, please explain below:
Second Child's Name

First NameLast Name
Age
Gender
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Child T-shirt Size
S / M / L / XL
Grade Level Just Finished
Does the child have any allergies? If yes, please list them below:
Does the participant have any medical condition that we should be aware of? If yes, please explain below:
Third Child's Name

First NameLast Name
Age
Gender
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Child T-shirt Size
S / M / L / XL
Grade Level Just Finished
Does the child have any allergies? If yes, please list them below:
Does the participant have any medical condition that we should be aware of? If yes, please explain below:
Parent / Guardian Information
Name

First NameLast Name
Relationship to Child
Telephone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Terms and Conditions
- I allow my child to participate in this program.
- I hereby authorize the church, bible study conductor, volunteer personnel to conduct first aid, and medical care in the event of an emergency situation. I agreed to pay for all the medical care expenses and costs in a given situation that medical care is needed.
- I release the organizers from any liabilities that might happen during the activity and hold them harmless in the event of damages, injuries, or accidents.
- I confirm that all information in this form is accurate and true to the best of my knowledge.
Royal Oak church of Christ

115 S. Campbell Road, Royal Oak, MI 48067

www.royaloakcoc.org 248-548-1333
Should be Empty:

Royal Oak Church of Christ Vacation Bible School Registration Form

Parent / Guardian Information

Terms and Conditions