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VBS Registration Form
Please fill out one form for EACH child. God bless, and see you at VBS 2018.
Child's Name
*
Parent's Name
*
Email
*
Address
*
Street address, city, state, and zip code
Mailing Address
If different than address written above.
Phone Numbers
Home
Work
Cell
Child Information
Age Information
Birth date
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Last grade completed in school
*
Medical Information
Medical or other information we need to know. (Please include any food allergies.)
*
Emergency Contacts
Name
*
Phone
*
Name
Phone
Dismissal Information
Who may pick up your child at the end of each VBS day?
*
Other Information
Do you attend Sunday School? If so where?
*
If you are visiting our church, who are you a guest of?
Notes or Additional Comments
By attending this event you are giving permission to photograph/video your child and use the images in publications or other media material produced or used by New Song Fellowship, including but not limited to brochures, invitations, website, etc. If there are security or custody concerns, contact the church office to make us aware and we will work with you to address your concerns.