Child's Name
Parent/Guardian Name
Address (street address, city, state, and zip code)
Mailing Address (if different)
Phone Numbers
Home
Work
cell
Email
Age Information
Birth Date
Last grade completed in school
Medical Information
Medical or other information we need to know. (Please include any food allergies.)
Emergency Contacts (Other than listed above)
Names & Phone Numbers
Dismissal Information
Who may pick up your child at the end of each VBS day?
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? YesNo
May we have permission to use your child's photograph for the purpose of promotion? YesNo
