Vacation Bible School
Registration
Please complete a registration form for each child
Child's Name:
Parent /Guardian Name:
Address:
City:
Zip:
Phone Numbers:
Home:
Cell:
Work:
Parents Email Address:
Last Grade Completed:
Date of Birth:
Age:
Where do you  attend Church?
Child's Medications and/or
Allergies
:
Emergency Contacts:
Name:
Phone:
Who may pick up your child:
Name:
Name:
Child's Shoe Size
Children size
Adult size