Vacation Bible School Registration Vacation Bible School Child's Name * Parent/Guardian Name * Address * Mailing Address (if different) Home Phone Work Phone Cell Phone * Email * Birth Date of Child * Last Grade Completed in School * Pre-KK1st2nd3rd4th5th Medical or other information we need to know. (Please include any food allergies.) Emergency Contacts (Other than listed above) * Who may pick up your child at the end of each VBS day? * Does your child attend church? * Yes No Is so, where? If your child is visiting our church, who is he/she a guest of? May we have permission to photograph your child? * Yes No May we have permission to use your child's photograph for the purpose of promotion? * Yes No If you are human, leave this field blank. Submit © Carpenter Street Baptist Church, Moberly MO Follow
