Kidzone VBS 2024

New Life Bible Church

VBS 2024 Registration
Date: July 8th-11th

Time: 9am-11:30am

Ages: 4yrs-5th grade

Where: New Life Bible Church
How many children are you registering?*
Child Information
First Child
Child's Name*

First NameLast Name
Child's Birth Date*

MonthDayYear
Last Grade Completed*
Does the child attend Sunday school anywhere?

YesNo
Where?
Medical or other information we may need to know about the child (including food allergies).*
Second Child
Child's Name*

First NameLast Name
Child's Birth Date*

MonthDayYear
Last Grade Completed*
Does the child attend Sunday school anywhere?

YesNo
Where?
Medical or other information we may need to know about the child (including food allergies).*
Third Child
Child's Name*

First NameLast Name
Child's Birth Date*

MonthDayYear
Last Grade Completed*
Does the child attend church anywhere?

YesNo
Where?
Medical or other information we may need to know about the child (including food allergies).*
Fourth Child
Child's Name*

First NameLast Name
Child's Birth Date*

MonthDayYear
Last Grade Completed*
Does the child attend Sunday school anywhere?

YesNo
Where?
Medical or other information we may need to know about the child (including food allergies).*
Child Release Information
Parent/Legal Guardian Name*

First NameLast Name
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Names of Persons to which the child (children) may be released after VBS (Please provide at least two)

First NameLast Name
Full Name

First NameLast Name
Full Name

First NameLast Name
Full Name

First NameLast Name
Are there any persons to which the child (children) may NOT be released to?*

YesNo
Who may you child (children) NOT be released to?
Emergency Contact 1 (other than parent/guardian listed above)*

First NameLast Name
Emergency Contact 1 Phone Number*
Emergency Contact 2 (other than parent/guardian listed above)*

First NameLast Name
Emergency Contact 2 Phone Number*
By clicking the box below, I hereby Give Permission for photographs and/or video in which my child appears in to be used by the church in printed and/or electronic media, including the church's website.

I Agree
Should be Empty:

New Life Bible Church

Child Information

First Child

Second Child

Third Child

Fourth Child

Child Release Information