VBS REGISTRATION FORM

Child’s Name:

Parent or Guardian Name:

Address:

PHONE NUMBERS

Home:

Office:

Cell:

E–mail:


AGE INFORMATION

Birth date:
Last grade completed in school:


MEDICAL INFORMATION

Medical or other information (include allergies):


EMERGENCY CONTACTS

Name:

Phone:


DISMISSAL INFORMATION

Who may pick up your child at the end of each VBS day:


OTHER INFORMATION

Do you attend Sunday School (if so, where):

If visiting our church who are you a guest of:

T-shirt size:


Comments: