VBS Child Registration

If you would rather print out the registration form and turn into Mrs. Kelly Witherspoon please click here.  (please add t-shirt size to printed form)

 

 

VBS Schedule: 

June 19th-23rd: 6:00pm-8:30pm.

 

Child's Name (required)

Child's Age (required)

Last grade child completed (required)

Child's T-shirt size(required)
YXS YS YM YL S M L XL 

Parent/ Guardian Name (required)

Your Email (required)

Mailing Address (required)

Best Contact Phone Number (required)

Home Cell Work Other 

Medical Information- any medical information we need to know (food allergies)

Emergency Contact- other than listed above (required)

Emergency Contact Phone Number (required)

Emergency Contact- other than listed above

Emergency Contact Phone Number

Dismissal Information- list all who may pick up your child at the end of each VBS day (required)

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? (required)
Yes No 

May we have permission to use the photos of your child for promotions? (required)
Yes No 

Anything else we need to know?

captcha

 

 

 

 

 

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