VBS Registration Form
2012 VBS Registration (Press <Ctrl P> to print form)
Please print this form, complete and turn into the Church Office
CHILD’S NAME
PARENTS/LEGAL GUARDIANS
STREET ADDRESS
CITY STATE ZIP
PHONE(S) AGE
LAST SCHOOL GRADE COMPLETED HOME CHURCH
IN CASE OF EMERGENCY, CONTACT _(at)
RELATIONSHIP TO CHILD ________
ALLERGIES OR OTHER MEDICAL CONDITIONS _
ANY SPECIAL FRIEND YOUR CHILD MIGHT LIKE TO BE WITH DURING VBS?
FRIEND’S NAME FRIEND’S AGE
