GOD'S STORY VBS SIGN UP

GOD'S STORY VBS SIGN UP

Hillside Church of God Vacation Bible School | June 1st-5th | 5:30pm-8:00pm 4 years old – 6th grade
Name of the Child

First NameLast Name
Age
Gender
Grade Level (Most recently completed | If child just completed Pre-K please note they must be potty trained to attend)
Parent/Guardian Name

First NameLast Name
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
Child's T-Shirt Size
Does your child have any allergies?
If yes, please list allergies. (Please include food allergies)
Does your child have any medical condition that we should be aware of?
If yes, please elaborate.
Pick Up Authorization

Authorized person/s to pickup your child after the Vacation Bible Study
Full Name 1

First NameLast Name
Relationship
Full Name 2

First NameLast Name
Relationship
Emergency Contact Information
Emergency Contact 1

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

First NameLast Name
Relationship
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Photo Release

By writing your name below you understand Hillside Church will be taking photographs and videos during the event of VBS. These photos will be shared in an end of the week slideshow, and select photos will be shared on our social media.
Date

MonthDayYear
Date
Parent/Guardian Name

First NameLast Name
Miscellaneous
Do you have a home church? If yes, which church?
How did you hear about us?

Other
Anything additional you want us to know?
Please keep an eye out for an email from us with further details!

With any questions feel free to reach out sooner to us at info@hillsideccog.com
Should be Empty:

GOD'S STORY VBS SIGN UP

Pick Up Authorization

Emergency Contact Information

Photo Release

Miscellaneous

Please keep an eye out for an email from us with further details!