2022 VBS Registration Please enable JavaScript in your browser to complete this form.Parent/Guardian Name *FirstLastAddress (street, city, state, zip) *Mailing address if differentPhone Numbers: (Home / Work / Cell) *Email *Emergency Contact Person (Name and Phone) *Family is Active at WHICH church? *Please let us know what church you are actively attending. If none, please just type NONE.How did you Learn of VBS? Invited By? *FOR SAFETY: Who may pick up your child(ren) after VBS each night?Photo / Video Permission *I consent to photo/video of my child(ren)I DO NOT consent to photo/video of my child(ren)Photos and video will be taken for social media and other marketing purposes. If this would pose a threat to a family member, please bring this to the attention of the REGISTRATION DESK or call the church office (770) 466-4335. Ask for the PASTOR or CHILDREN'S DIRECTORCHILD #1 *FirstLastCHILD #1: Male or FemaleMaleFemaleCHILD #1: Relationship to Adult Above: *CHILD #1: Birthdate *CHILD #1: Last Grade Completed *CHILD #1: Attends Sunday School? *YesNoChild #1: List Medical Issues / AllergiesCHILD #2FirstLastCHILD #2: Male or FemaleMaleFemaleCHILD #2: Relationship to Adult Above:CHILD #2: BirthdateCHILD #2: Last Grade CompletedCHILD #2: Attends Sunday School?YesNoChild #2: List Medical Issues / AllergiesCHILD #3FirstLastCHILD #3: Male or FemaleMaleFemaleCHILD #3: Relationship to Adult Above:CHILD #3: BirthdateCHILD #3: Last Grade CompletedCHILD #3: Attends Sunday School?YesNoChild #3: List Medical Issues / AllergiesCHILD #4FirstLastCHILD #4: Male or FemaleMaleFemaleCHILD #4: Relationship to Adult Above:CHILD #4: BirthdateCHILD #4: Last Grade CompletedCHILD #4: Attends Sunday School?YesNoChild #4: List Medical Issues / AllergiesPhoneSubmit
