Vacation Bible School Registration

Parent or Guardian’s Name

Phone Number

Alternate Phone Number If Applicable

Photo Consent

Will your child/children need transportation?

If yes to the above, what is your address?

Enter your child/children’s information below

How Many Children Will Attend?

Child # 1 Name

Grade/age information

Allergy information

If yes to the above, please enter here

Child’s #2 Name

Grade/age information

Allergy information

If yes to the above, please enter here

Child # 3 Name

Grade/age information

Allergy information

If yes to the above, please enter here

Child # 4 Name

Grade/age information

Allergy information

If yes, please enter here

Child # 5 Name

Grade/age information

Allergy information

If yes to the above, please enter here

Is there any other information we need to know about your child/children?