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VBS 2015 Student Registration Form
"Journey Off the Map" VBS
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Child's Name
First and Last
Your answer
Grade Entering in Fall 2015
Your answer
Parent's Name
Your answer
Parent's Phone Number
10-digit number
Your answer
Address
Street, City, State, Zip
Your answer
Email
Your answer
Please list of any allergies
Your answer
Please list any medications
Your answer
Who is allowed to pick up your child?
Your answer
Please list at least one emergency contact that is not yourself.
Name and phone number
Your answer
During VBS, we often take pictures of children in activities to post on our church's website. No names will be posted. Please let us know if we have permission to post pictures of your child.
Yes
No
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