Child's Name (required)
Parent's/Guardian's Name (required)
Mailing Address (required)
Your Email (if any)
Home Phone Number (if any)
Mobile Phone Number (required)
Work Phone Number (if any)
Child Birth date (required)
Child's Completed Grade (required)
—Please choose an option—PreschoolK1st2nd3rd4th5th
Allergies or Medical Information (if any)
Emergency Contact Phone other than listed above (if any)
Who may pick up your child at the end of VBS each day? (required)
Does your child attend Sunday School? If so where? (if any)
If your child is visiting our church, who is he a guest of? (if any)
May we have permission to photograph your child? (required)
YesNo
May we have permission to use your child's photograph for the purpose of promotion? (required)
