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VBS Registration
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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
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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)
Submit
