Vacation Bible School

VBS - JUNE 8th -11th 9AM - 12PM

Parent Name(Required)

First Last

Phone Number(Required)

Address

Street Address Address Line 2 City State ZIP Code

Child's Name(Required)

First Last

Child's Birthday(Required)

Last Grade Completed

Any Allergies?

Emergency Contact Name(Required)

First Last

Emergency Contact Phone Number(Required)

May we have permission to photograph your child?(Required)

Yes

May we have permission to use your child’s photograph for the purpose of promotion? (website, facebook, instagram) *(Required)

Yes

Who may pick up your child at the end of VBS each day?

Does your child attend Sunday School? If so, Where?