VBS 2019 Registration Form - In The Wild!

In The Wild-animatedbanner.gif
Child's Name *
Child's Name
Parent/Guardian Name *
Parent/Guardian Name
Address *
Cell Phone *
Cell Phone
Home Phone
Home Phone
Date of Birth *
Date of Birth
If none please enter "None".
If none please enter "None".
Medical conditions or other information that you feel the Church needs to be aware of. If none please enter "None".
Emergency Contact Name *
Emergency Contact Name
(other than parent listed above)
Emergency Contact Number *
Emergency Contact Number
Who may pick up your child at the end of each VBS day?
May we have permission to photograph your child? *
May we have permission to use your child's photograph for church website and/or Facebook page? *
Will your child need bus service to and from VBS? *