Vbs Registration Form printable pdf download

Vbs Registration Form

VBS Registration Form

Student’s Name ___________________________________________________________________________________

Parent/Family/Guardian Name _____________________________________________________________________

Address ___________________________________________________________________________________________________

_____________________________________________________________________________________________________

E-mail Address ___________________________________________________________________________________

Phone Numbers Home ______________________ Cell _____________________ Work____________________

Date of birth _______________________________ Age ________________________

Last school grade completed ______________________________________________

Home Church _____________________________________________________________________________________

Friends of your child at this church _________________________________________________________________

Allergies/Medical Information/Other

___________________________________________________________________________________________________

Emergency Contacts

Name _____________________________________________ Phone __________________________________

Dismissal Information

Name(s) of person(s) who may pick up this child from VBS

__________________________________________________________________________________________________

Other Information (church use only)

Hero Group ____________________________________________________________________________________

Are parents/guardians/family members helping with VBS Hero Central? ___________

If yes, where? ____________________________________

If your child has Special Needs, please also fill out the form on the back!

Publicity & Registration

Vbs Registration Form