2024 VBS RegistrationAges 3 years - 5th grade Child(ren) Names, Birthdates & Last Grade Completed in School * Parent(s) Name * First Name Last Name Mailing Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone# * (###) ### #### Medical Information Medical or other information we need to know (Please include any food allergies) Emergency Contacts * (Other than the parent listed above) Dismissal Information * Who may pick up your child at the end of each VBS evening? Do you currently attend church? Yes No If you do attend church, 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 Thank you! We look forward to seeing you in July at our VBS!
