VBS Sign Up

VBS Form

Contact Information

Parent / Guardian*

Address

Phone*( ) -

Please provide a number where you can be readily reached.

Dismissal Pickup*

Please list anyone who may be picking up your child at the end of VBS each day.

Email*

Child Information

Child Name*

Name of Child Attending VBS

Grade Completed*

Select the highest grade your child has completed in school as of June 2019.

Child Age*

Age of your Child

T-Shirt Size*

Medical Conditions

Please list any food allergies or other medical conditions your child has here.

Child Information - 2

(Optional)

Please fill out this section if you have a second child attending VBS.

Child Name

Name of Child Attending VBS

Grade Completed

Select the highest grade your child has completed in school as of June 2019.

Child Age

Age of your Child

T-Shirt Size

Medical Conditions

Please list any food allergies or other medical conditions your child has here.

Child Information - 3

(Optional)

Please fill out this section if you have a third child attending VBS.

Child Name

Name of Child Attending VBS

Grade Completed

Select the highest grade your child has completed in school as of June 2019.

Child Age

Age of your Child

T-Shirt Size

Medical Conditions

Please list any food allergies or other medical conditions your child has here.

Emergency Contacts

Emergency Contact 1*

The best contact in the event of an emergency.

Contact Number*( ) -

Emergency Contact 2*

The best contact in the event of an emergency.

Phone*( ) -

Other Information

Your divider description here.

Do you attend Sunday school?

If yes, where?

If visiting, who are you 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

Please leave this field blank.

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