Vbs Registration Form printable pdf download

Vbs Registration Form

VBS at TCC

July 18

July 18- - - - 22, 2016

July 18

22, 2016

Registration Form

(one per child)

Child’s name: ________________________________________________________________

Child’s gender: _______________________________________________________________

Child’s age: __________________________________________________________________

Date of birth: ________________________________________________________________

Last school grade completed: ___________________________________________________

Name of parent(s): ____________________________________________________________

Street address: _______________________________________________________________

City/State/ZIP: _______________________________________________________________

Home telephone: (________) ___________________________________________________

Parent/caregiver’s cell phone: (________) _________________________________________

Home e-mail address: _________________________________________________________

Home church: ________________________________________________________________

llergies or other medical condi ons: _____________________________________________

In case of emergency, contact: _________________________________________

Phone: (________) __________________________________________________

ela onship to child: ________________________________________________

Group name (for church use only): ________________________________________________

Vbs Registration Form