VBS 2023 Child Registration

COMPLETE ONE FORM PER CHILD
Pre-registration Deadline May 22, 2023

Name*

First Last

Name Child Goes By*

Age*

Date of Birth*

Grade in 2023-2024*

Address*

Street Address City State ZIP Code

Parents' Names*

Email Address*

Home Phone*

Work Phone

Cell Phone

Please indicate which number we should call you during the VBS hours*

Home Phone
Work Phone
Cell Phone

Special Needs or Medical Conditions

Allergies or Food Restrictions

Home Parish*

I give my permission in the event of an emergency to seek medical treatment for my child.*

Yes, I give permission
No, I do not give permission

I give my permission for the church to use pictures of my child on their website and social media for informational or promotional purposes.*

Yes, I give permission
No, I do not give permission

If you are able to donate $10 per child and no more than $25 per family, it would be greatly appreciated. Once you hit submit, you will be taken to a link where you can enter your donation if you so choose.

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