Child's Name *
(First & Last)
Date of Birth *
Allergies, Special Needs, Helpful Information
Grade Completed *
If you are coming to VBS with a friend, tell us who!
Parent/Guardian Name(s) *
Cell Number *
Email Address *
Is there anyone who is NOT allowed to pick up your child?
May we have permission to photograph/film your child for church use?
Yes, I give my consent.
No, I do not wish for my child to be filmed/photographed.
Including Facebook, website and in-house publicity.