VBS Registration Form

VBS Registration Form

Please fill out your details to register for the VBS event.
How Many Kids are you registering?
Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Email Address
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Does Enumclaw SDA Church have permission to take pictures of your child(ren) and post online?
List all names (including yourself) who is able to pick up your child(ren)
Child Information
Participant Gender - Child 1
Full Name - Child 1

First NameLast Name
Age - Child 1
Date of Birth - Child 1

MonthDayYear
Date
Last Grade Completed - Child 1
Does the participant have any allergies or medical conditions? - Child 1
Additional Notes or Special Instructions - Child 1
- Participant Gender - Child 2
- Participant Full Name - Child 2
  
  First NameLast Name
- Participant Age - Child 2
- Participant Date of Birth - Child 2
  
  MonthDayYear
  Date
- Last Grade Completed - Child 2
- Does the participant have any allergies or medical conditions? - Child 2
- Additional Notes or Special Instructions - Child 2
- Participant Gender - Child 3
- Participant Full Name - Child 3
  
  First NameLast Name
- Participant Age - Child 3
- Participant Date of Birth - Child 3
  
  MonthDayYear
  Date
- Last Grade Completed - Child 3
- Does the participant have any allergies or medical conditions? - Child 3
- Additional Notes or Special Instructions - Child 3
- Participant Gender - Child 4
- Participant Full Name - Child 4
  
  First NameLast Name
- Participant Age - Child 4
- Participant Date of Birth - Child 4
  
  MonthDayYear
  Date
- Last Grade Completed - Child 4
- Does the participant have any allergies or medical conditions? - Child 4
- Additional Notes or Special Instructions - Child 4
- Participant Gender - Child 5
- Participant Full Name - Child 5
  
  First NameLast Name
- Participant Age - Child 5
- Participant Date of Birth - Child 5
  
  MonthDayYear
  Date
- Last Grade Completed - Child 5
- Does the participant have any allergies or medical conditions? - Child 5
- Additional Notes or Special Instructions - Child 5
Should be Empty: