Shadow Society VBS - TBC Boyd, TX

VBS Registration Form

Please fill the form below and let us know if you give go ahead for this child's participation
Participant Name *

First Name Last Name
Age *
Grade Last Completed
Medical Problems/ Allergies / Special Needs *
Parent / Guardian's Name *

First Name Last Name
Phone Number (Primary / Emergency) *

Area Code Phone Number
Phone Number (Secondary)

Area Code Phone Number
E-mail *
Address

Street Address

Street Address Line 2

City State

Zip Code Country
Do you currently have a home church?

Yes No
If Yes, where?
Tell us how you learned about VBS at Trinity:

Trinity Website Facebook Road Sign Flyer / Poster Invited by a friend
CONSENT FOR MEDICAL TREATMENT | As the parent or legal guardian of the above-named participant, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor. This care may be given under whatever conditions are necessary to preserve the life, limb, or well-being of my dependent.
By signing and submitting this registraiton form, you understand and agree to all policies.
Parent/Guardian Signature *

First Name Last Name
Today's Date *

Month Day Year
Comments and/or Questions:
Should be Empty:

VBS Registration Form