VBS Registration | Christ Evangelical Free Church

VBS Registration

Child's Name

First

Last

Parent or Guardian's Name

First

Last

Address

Street, City, State, Zip Code

Mailing Address, if different

Street, City, State, Zip Code

Home Phone

Work Phone

Cell Phone

E-mail

Birthday date

Last grade completed in school

Medical Information

Medical or other information we need to know. Include food allergies.

Emergency Contacts

Other than numbers listed above.

Dismissal Information

Who may pick up your child at the end of each VBS day?

Does your child(ren) attend church? If so, where?

If your child is visiting our church, who is he or she a guest of?

May we have permission to photograph your child(ren)?

May we have permission to use your child's photograph for the purpose of promotion