VACATION BIBLE SCHOOL 2023 CHILD REGISTRATION FORM

Date: Sunday, July 30th thru Wednesday, August 2nd
Time: 6:30-8:30pm
Ages / Grades: 4-12 years old / Pre K-5th grade

Children who attend each night will have the opportunity to receive a free backpack with some basic school supplies! You may note your interest in this opportunity at the bottom of this form.

You may register up to 3 children on each form but all information must be completed for each child. If you need to register more children, please complete an additional form.

Information For Child #1

Name

Address

Gender

Male Female

Birthdate

Grade - Just Completed

Pre-K/Kindergarten 1st grade 2nd grade 3rd grade 4th grade 5th grade

Allergies/Health Conditions

Parent/Guardian Name(s)

Parent/Guardian Contact Number

Any Other Important Information

Information For Child #2 (If Applicable)

Name

Address (If Different From Above)

Gender Male Female

Birthdate

Grade - Just Completed Pre-K/Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Allergies/Health Conditions

Parent/Guardian Name(s) (If Different From Above)

Parent/Guardian Contact Number (If Different From Above)

Any Other Important Information

Information For Child #3 (If Applicable)

Name

Address (If Different From Above)

Gender Male Female

Birthdate

Child's Grade - Just Completed Pre K/Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Allergies/Health Conditions

Parent/Guardian Name(s) (If Different From Above)

Parent/Guardian Contact # (If Different From Above)

Any Other Important Information

Transportation Need (If Applicable)

Currently our routes travel a distance of 5 miles from our church property. If you live within that range and would like to request a ride, please complete the information below.

Transportation Need - Please Check All That Apply Picked Up Each Evening Taken Home Each Evening Need Assistance On Specific Day(s)

Please List Specific Days That You Will Need Assistance And If You Will Need Pick Up And/Or Drop Off

What Is The Best Method To Send You Paperwork To Complete Per Rider Text A Link Email The Forms Set Up A Time For You To Come To VBC To Complete The Form

Information About The Person Completing This Form

Your Name And Relation

Contact #

This address will receive a confirmation email

Are you interested in the child or children listed above attending each night and receiving a backpack with some basic school supplies?

Yes No Thank You - It's Not Needed At This Time

VACATION BIBLE SCHOOL 2023 CHILD REGISTRATION FORM

Description

Please Fix the Following