VBS 2022!

Child's Name

Parent/Guardian Name

Address (street address, city, state, and zip code)

Mailing Address (if different)

Phone Numbers

Home

Work

cell

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

A Place to Call Home