Vacation Bible School Registration Form

Child's Name

Child's Birth Date

Child's Last Grade Completed

Transportation

Ride Bus Drive In

Parent/Guardian Name

Work Phone

Cell Phone

Address

This address will receive a confirmation email

Child's Allergies/ Special Information

Emergency Contact Name

Emergency Contact Phone

Who may pick your child up at the end of each VBS day?

Does your child attend Sunday School? Is so where?

May we have permission to photograph your child?

Yes No

May we have permission to use your child's photograph for the purpose of promotion?

Yes No

Description

Please fill out this form to register your child.