Vacation Bible School (VBS) Online Registration Form

1st Child's Name

Age

1st Child T-Shirt Size

2nd Child's Name

Age

2nd Child T-Shirt Size

3rd Child's Name

Age

3rd Child T-Shirt Size

4th Child's Name

Age

4rd Child T-Shirt Size

5th Child's Name

Age

5th Child T-Shirt Size

6th Child's Name

Age

6th Child T-Shirt Size

Parents(s) Name

Parent(s) Number

Parent(s) Address

Parent(s) Email

Who will be picking up the child/children?

Above named parent(s) Other (Additional Permission)

Other Name

Other Number

List Medical Problems

List All Allergies