Child's Name
Parent/Guardian Name
Home Phone
Cell Phone
E-mail
Age Information Birthdate (for preschoolers) or last grade completed)
Medical Information Medical or other information we need to know. (Please include any food allergies)
Emergency Contacts Please give name and number of contact(s)
Dismissal Information Who may pick up your child| at the end of each VBS day?
Other Information Do you attend Sunday School? If so where?
If you are visiting our church, who are you a guest of?
May we have permission to photograph your child?
May we have permission to use your child's photograph in church publicaions for the purpose of promotion?
Return to site
\