Child Registration Form VBS Registration Form Child's Name Parent/Guardian Name Address (street address, city, state, and zip code) Mailing Address (if different) Phone Numbers Home Work Cell Email Address Age Information Birth Date Last grade completed in school Medical Information Medical or other information we need to know. (Please include any food allergies.) Emergency Contacts (other than listed above) Name Phone Number Name Phone Number Dismissal Information Who may pick up your child at the end of each VBS day? Other Information Does your child attend Sunday School? If so where? If your child is visiting our church, who is he a guest of? May we have permission to photograph your child? Yes No May we have permission to use your child’s photograph for the purpose of promotion? Yes No If you are human, leave this field blank.