🌊 VBS 2024 Registration Form 🌊
Child Information
First Name
*
Last Name
*
Gender
*
Male
Female
Date of Birth
*
Grade Going Into
*
Not yet in school
K
1
2
3
4
5
6
7
8
Shirt Size (Choose One)
*
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Adult 2X
Parent/Guardian Information
Guardian First Name
*
Phone Number
*
Guardian Last Name
*
Email Address
Mailing Address
Home Address
*
Home City
*
Home State
*
Home Zip Code
*
Communication
May we send you text announcements about the Children's Ministry to the cell phone number(s) shown above?
*
Yes
No
May we use your child's picture in club photos, videos, promotional materials and on the church website? (Child's name will not be included)
*
Yes
No
Does this child have any allergies?
*
Yes
No
What allergies do they have? (If no, leave blank)
Who has permission to pick up your child/children?
*
Who does NOT have permission to pick up your child/children? (If no, leave blank)
Emergency Information
In case of an emergency and the parent or guardian cannot be reached during VBS time.
Name
*
Street Address
*
Home Phone
*
Relation to Child
*
City and State
*
Cell Phone
*
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