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Register your child for vbs
We are looking forward to a fun-filled week of worship, games, crafts, activities and learning about God.
Parent/Guardian Information
Parent/Guardian's First Name
Parent/Guardian's Last Name
Phone Number
Email
Address 1
Address 2
Country
City
State
Zip/Postal Code
How many times have you visited our church?
This is my first time
A few times
Regular attendee
Child Information
Child's First Name
Child's Last Name
Child's Date of Birth (MM/DD/YY)
Child's Age
What was the last grade completed?
Pre-K
Kindergarten
First
Second
Third
Fourth
Fifth
other
Allergies & Important Medical Information
Anything else you'd like to share?
2ND CHILD INFORMATION
2nd Child's First Name
2nd Child's Last Name
2nd Child's Date of Birth (MM/DD/YY)
2nd Child's Age
What was the last grade completed?
Pre-K
Kindergarten
First
Second
Third
Fourth
Fifth
other
Allergies & Important Medical Information
Anything else you'd like to share?
3RD CHILD INFORMATION
3rd Child's First Name
3rd Child's Last Name
3rd Child's Date of Birth (MM/DD/YY)
3rd Child's Age
What was the last grade completed?
Pre-K
Kindergarten
First
Second
Third
Fourth
Fifth
other
Allergies & Important Medical Information
Anything else you would like to share?
4TH CHILD INFORMATION
4th Child's First Name
4th Child's Last Name
4th Child's Date of Birth (MM/DD/YY)
4th Child's Age
What was the last grade completed?
Pre-K
Kindergarten
First
Second
Third
Fourth
Fifth
other
Allergies & Important Medical Information
Anything else you would like to share?
Your children may appear in photographs and/or videos captured during VBS for church use.
I give permission for my child to be photographed/videoed.
I DO NOT give permission for my child to be photographed/videoed.
Emergency Contact (other than above)
Emergency First Name
Emergency Last Name
Emergency Phone Number
Authorization for pickup (other than above)
Pick-up First Name
Pick-up Last Name
Pick-up Phone Number
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