V.B.S. 2023 Registration Form
(Please copy and print this form to bring to registration)
Child’s Name: __________________________________________________________________________________
Child’s Age and Grade completed (if apply): __________________________________________________
Parent/Guardian Name ________________________________________________________________________
-Phone_________________________________________________________________________________________________
-Address: ________________________________________________________________________________________
Medical Information/Other Information (Food or any allergies, etc): _______________________________________________________________________________________________________________________________________________________________________________________________________
Emergency Contact: ___________________________________________________________________________________________________
Who may pick up the student at dismissal if other than names listed above? ___________________________________________________________________________________________________
Other Information:
Do you attend Sunday School? If so where? ____________________________________________________
If you are visiting, would you like more information about our church? Yes_____ No______
May we have permission to take a photograph of your child? Yes___ No____
If yes, can we use the photograph in church publication (like our webpage for purpose of promotion)? Yes____No____
(Please copy and print this form to bring to registration)
Child’s Name: __________________________________________________________________________________
Child’s Age and Grade completed (if apply): __________________________________________________
Parent/Guardian Name ________________________________________________________________________
-Phone_________________________________________________________________________________________________
-Address: ________________________________________________________________________________________
Medical Information/Other Information (Food or any allergies, etc): _______________________________________________________________________________________________________________________________________________________________________________________________________
Emergency Contact: ___________________________________________________________________________________________________
Who may pick up the student at dismissal if other than names listed above? ___________________________________________________________________________________________________
Other Information:
Do you attend Sunday School? If so where? ____________________________________________________
If you are visiting, would you like more information about our church? Yes_____ No______
May we have permission to take a photograph of your child? Yes___ No____
If yes, can we use the photograph in church publication (like our webpage for purpose of promotion)? Yes____No____
