Vbs Registration Form printable pdf download

Vbs Registration Form

OAK GROVE BAPTIST CHURCH

VBS REGISTRATION FORM

STUDENT INFO:

Student’s Name: __________________________________

Student’s Address: __________________________________

City: ---------_____________________

State: ____________

Zip: ________________________

Birth Date: ______________________________

Grade Completed: ______________________________

Home Phone: ______________________________ Other Phone: ______________________________

Parent’s Name(s): ___________________________________________________________

Parent’s Cell Phone: ______________________________

Parent’s Work Phone: __________________________

Name of Home Church: ______________________________

Do you currently attend Sunday School?

Yes

(Circle One)

EMERGENCY CONTACT INFO:

Emergency Contact: ______________________________

Phone: ______________________________

Medical Information (food allergies, medications, etc.):

__________________________________________________________________________________________________________

______________________________________________________________________________________________________

Doctor’s Name: ______________________________

Phone: ______________________________

Other than Parent or Guardian, who may pick up this child at the end of Bible School each day?

Name: ______________________________ Relationship: ______________________________

WE MUST BE ABLE TO REACH SOMEONE AT ALL TIMES! IF THERE ARE ANY CHANGES, LEAVE WRITTEN INFOR-

MATION IN THE CHURCH OFFICE PLEASE!

In addition to this form, each participant must also complete a

Children’s Medical Release Form.

Vbs Registration Form