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ONLINE GIVING
Home
CBC Live
Events
Schedule & Map
Prayer
Email
Calender
VBS 2019 Registration Form - In The Wild!
Child's Name
*
First Name
Last Name
Parent/Guardian Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Cell Phone
*
(###)
###
####
Home Phone
(###)
###
####
Email Address
*
Date of Birth
*
MM
DD
YYYY
Last grade completed in school
*
Pre-K
K
1
2
3
4
5
6
Medications Needed During Service Time
*
If none please enter "None".
Food or Drug Allergies
*
If none please enter "None".
Medical Conditions
*
Medical conditions or other information that you feel the Church needs to be aware of. If none please enter "None".
Emergency Contact Name
*
(other than parent listed above)
First Name
Last Name
Emergency Contact Number
*
(###)
###
####
Dismissal Information
*
Who may pick up your child at the end of each VBS day?
Does your child attend Sunday School? If so where?
If your child is visiting our church, who is he/she a guest of?
May we have permission to photograph your child?
*
Yes
No
May we have permission to use your child's photograph for church website and/or Facebook page?
*
Yes
No
Will your child need bus service to and from VBS?
*
Yes
No
Thank you!