VACATION BIBLE SCHOOL 2020 REGISTRATION
"CHOOSE LIFE IN JESUS"
(ages 3-12)
CHILD'S NAME  
STREET ADDRESS  
CITY  
STATE  
ZIP  
EMAIL  
PRIMARY PHONE NUMBER  
PARENT'S /GURADIAN'S NAME  
EMERGENCY CONTACT NUMBER  
ALLERGIES OR SPECIAL NEEDS  
MEMBER OF WHICH CHURCH  
GRADE COMPLETED  
DATE OF BIRTH (MM/DD/YYYY)

 
AGE  
NAMES OF THOSE WHO
MAY PICK UP YOUR CHILD
 

MAY WE TAKE YOUR CHILD'S PHOTO
FOR A CRAFT THEY WILL MAKE
AND TAKE HOME?

 
MAY YOUR CHILD'S PHOTO
BE USED IN THE NEWSPAPER
ABOUT OUR VBS?