VBS 2022 Registration

June 20-24, 2022, 6:30-8:30 PM | Please fill out this form and click submit to register for Vacation Bible School.

Child's Information

You may register up to 4 siblings (who share an address and parental contact information) on one form. Please complete separate forms for other children.

Child #1

Child 1: First and Last Name

*

Age

*

Date of Birth

*

Gender

*

Please select one option.

Female Male

Entering Grade (2022/2023 school year)

*

Please select one option.

K 1 2 3 4 5

Medical or other information we need to know, including Food allergies

*

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

*

Does your child attend Sunday School anywhere? If so where?

*

Please select all that apply.

Yes No

If yes above, where?

*

If your child is visiting as a guest, with whom are they visiting?

*

Throughout VBS activities we will be taking lots of photos. Do we have permission to photograph your child?

*

Please select all that apply.

Yes No

Do we have permission to share those photos on our website, social media or other promotions?

*

Please select all that apply.

Yes No

Child #2

Child 2: First and Last Name

Age

Date of Birth

Gender

Please select one option.

Female Male

Entering Grade (2022/2023 school year)

Please select one option.

K 1 2 3 4 5

Medical or other information we need to know, including Food allergies

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

Does your child attend Sunday School anywhere? If so where?

*

Please select all that apply.

Option Option Option

If yes above, where?

If your child is visiting as a guest, with whom are they visiting?

*

Throughout VBS activities we will be taking lots of photos. Do we have permission to photograph your child?

*

Please select all that apply.

Yes No

Do we have permission to share those photo on our website, social media or other promotions?

*

Please select all that apply.

Yes No

Child #3

Child 3: First and Last Name

Age

Date of Birth

Gender

Please select one option.

Female Male

Entering Grade (2022/2023 school year)

Please select one option.

K 1 2 3 4 5

Medical or other information we need to know, including• Medical or other information we need to know, including Food allergies

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

Does your child attend Sunday School anywhere?

Please select all that apply.

Yes No

If yes above, where?

If your child is visiting as a guest, with whom are they visiting?

*

Throughout VBS activities we will be taking lots of photos. Do we have permission to photograph your child?

Please select all that apply.

Yes No

Do we have permission to share those photos on our website, social media or other promotions?

Please select all that apply.

Yes No

Child #4

Child 4: First and Last Name

Age

Date of Birth

Gender

Please select one option.

Female Male

Entering Grade (2022/2023 school year)

Please select one option.

K 1 2 3 4 5

Medical or other information we need to know, including Food allergies.

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

Does your child attend Sunday School anywhere?

Please select all that apply.

Yes No

If yes above, where?

If your child is visiting as a guest, with whom are they visiting?

Throughout VBS activities we will be taking lots of photos. Do we have permission to photograph your child?

*

Please select all that apply.

Yes No

Do we have permission to share those photos on our website, social media or other promotions?

*

Please select all that apply.

Yes No

Emergency Contact Information

Who should leaders contact in case of an emergency?

First and Last Name

*

Address

*

Phone

*

Email

*

This address will receive a confirmation email

Relationship to the Child

*

Please select one option.

Father Mother Grandmother Grandfather Babysitter Other

If "Other", please list:

Parent/Guardian Information

First and Last Name

*

Address

*

Phone

*

Email

*

This address will receive a confirmation email

Description

June 20-24, 2022, 6:30-8:30 PM

Please fill out this form and click submit to register for Vacation Bible School.

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