VBS 2021 Registration
Thorn Grove Baptist Church VBS 2021 Registration
For Ages 4 - 5th grade completion
Child's Name
*
First Name
Last Name
Parent/Guardian Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Phone
*
-
Area Code
Phone Number
Secondary Phone
*
-
Area Code
Phone Number
Emergency Contact (other than Primary or Secondary)
-
Area Code
Phone Number
Email
example@example.com
Child's Birth Date
Last Grade completed in school
*
Please list any medical information we may need to know (hemophilia, asthma, environmental allergies, etc). If none, please type NONE.
*
Please list any FOOD allergies or intolerances (milk, peanuts, soy, red food dye). If none, please type NONE.
*
Emergency Contact 1 (other than listed above)
*
First Name
Last Name
Emergency Contact 1 Phone
*
-
Area Code
Phone Number
Emergency Contact 2
First Name
Last Name
Emergency Contact 2 Phone
-
Area Code
Phone Number
Please list anyone who may pick up your child at the end of each VBS day (only those on this list will be able to pick up your child).
Does your child attend church anywhere? If so, where?
If your child is visiting our church, who is he or she a guest of?
May we have permission to photograph your child?
*
May we have permission to use your child's photograph for the purpose of promotion?
*
Submit
Should be Empty: