VBS Registration Form
Child’s Name______________________________________________________________________________   

Parent/Guardian Name______________________________________________________________________

Address_________________________________________________________________________________________________________________
  (street address, city, state, and zip code)
Mailing Address (if different)________________________________________________________________________________________________

Phone Numbers

Home___________________________  Work__________________________  Cell__________________________________________ 

Email________________________________________________________________________________________________

Age Information

Birth date________________________________________   Last grade completed in school________________________________________ 

Medical Information
Medical or other information we need to know. (Please include any food allergies.)

Emergency Contacts (other than listed above)
Names & Phone numbers 

Dismissal Information
Who may pick up your child at the end of each VBS day?

Other Information
Does your child attend Sunday School? If so where? 

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

May we have permission to photograph your child?  θ Yes         θ No

May we have permission to use your child’s photograph for the purpose of promotion?  θ Yes        θ No

Registration Form • Administrative Guide CD • VBS 2019