VBS Online Registration 2017
Child's Name*
Parent/Guardian Name*
Home Phone
Cell Phone
Work Phone
Last grade completed in school*
Medical information we need to know. Include any allergies.*
Emergency Contacts with phone numbers*
Who will pick this child up from VBS daily?*
If this child attends Sunday School, what is the name of that church?
If this child is visiting, who is he/she a guest of?
May we have permission to photograph this child?*

May we have permission to use this child's photograph for the purpose of promotion?*