VBS Registration

MAGNIFIED!

Psalm 34:3 "Proclaim the Lord’s greatness with me; let us exalt his name together."

VBS Registration Form

First Child's Name*

Child's Birthdate*

Last Grade Completed In School*

If your child is entering Kindergarten, please note their age and "entering K".

Second Child's Name

Child's Birthdate

Last Grade Completed In School

If your child is entering Kindergarten, please note their age and "entering K".

Third Child's Name

Child's Birthdate

Last Grade Completed In School

If your child is entering Kindergarten, please note their age and "entering K".

Fourth Child's Name

Child's Birthdate

Last Grade Completed In School

If your child is entering Kindergarten, please note their age and "entering K".

Parent/Guardian Name*

Address*

Mailing Address (if different)

Cell Phone*( ) -

Home Phone( ) -

Work Phone( ) -

Email*

Medical Information*

Medical or other information we need to know. (Please include any food allergies.) If none, put N/A.

Emergency Contacts*

Names & Phone Numbers (other than listed above)

Dismissal Information*

Who may pick up your child at the end of each VBS day? Please include name and relation to child.

Does your child attend Sunday School? If so, where?

If your child is visiting our church, who is he/she a guest of?

May we have permission to photograph your child?*

Yes

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

Yes

These photos may be displayed on our website.

Please leave this field blank.