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VBS Registration

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Child 1

Child 1's Name *

First

Last

Child 1's Gender *

Female
Male
Prefer Not to Say

Child 1's Date of Birth *

Child 1's Age *

Child 1's Last School Grade Completed (or age) *

Days Child 1 plans to attend VBS *

Monday
Tuesday
Wednesday
Thursday
Friday
Sunday

Child 1 Food Allergies *

Food plays an important role at VBS. Does your child have any food allergies? If so, please list them.

Child 2

Child 2's Name

First

Last

Child 2's Gender

Female
Male
Prefer Not to Say

Child 2's Date of Birth

Child 2's Age

Child 2's Last School Grade Completed (or age)

Days Child 2 plans to attend VBS

Monday
Tuesday
Wednesday
Thursday
Friday
Sunday

Child 2 Food Allergies

Food plays an important role at VBS. Does your child have any food allergies? If so, please list them.

Child 3

Child 3's Name

First

Last

Child 3's Gender

Female
Male
Prefer Not to Say

Child 3's Date of Birth

Child 3's Age

Child 3's Last School Grade Completed (or age)

Days Child 3 plans to attend VBS

Monday
Tuesday
Wednesday
Thursday
Friday
Sunday

Child 3 Food Allergies

Food plays an important role at VBS. Does your child have any food allergies? If so, please list them.

Other medical information we should know (about any child) *

Contact & Permissions

Parent/Guardian Name *

First

Last

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Daytime Phone Number *

Do you have a church home? *

Yes
No

If yes, where do you attend? *

I understand each student will be asked to bring a water bottle for the week. *

Yes
No

Pictures will be taken throughout the week of VBS. They will be displayed during worship on Sunday, June 19 as part of the VBS celebration. May we use pictures of your student(s)? *

Yes
No

Secondary Emergency Contact *

First

Last

If the person listed as Parent/Guardian cannot be reached, please contact this person.

Phone *

If the person listed as Parent/Guardian cannot be reached, please contact this person.

These people have permission to pick up my student: *

5th & 6th Grade

I am registering a 5th or 6th grade student *

Yes
No

The 5th and 6th graders of Trinity VBS are the hands and feet of Christ in very practical ways throughout the week of VBS. They will go out into the community to help others during VBS hours. Seat belts will be required. Volunteer drivers from Trinity will provide their own vehicles to transport students. Please, fill out the form below to let us know your wishes:

Yes my 5th or 6th grade student may leave the building during VBS hours for the above purpose.
No my 5th or 6th grade student my not leave the building, but will be welcomed into one of the older elementary group experiences for the week.
Yes you have my permission to take my student to an emergency room if needed. I understand I will be contacted immediately or one of the contacts I have provided if you cannot reach me.

Parent/Guardian Name (e-Signature)

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