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Grace Church
VBS SIGNUP FORM
Mark your calendars for Vacation Bible School!
June 9th - 11th from 9am -12pm
Parent's Contact Information:
Parent's First Name
Parent's Last Name
Parent Phone Number
Address
Apartment, suite, etc.
City
State
Zip/Postal Code
Emergency Contact:
(In Case Parent is Unavailable)
First Name
Last Name
Phone Number
Child Information:
First Name
Last Name
Grade Level Going Into:
Kindergarden
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Any Food Allergies:
Additional Information:
Will you be inviting a friend? ... List their names here:
Please list any other person (s) authorized to take child from premises:
Will you allow your child to be dismissed from VBS without a parent or guardian present?
As the parent / guardian, I GRANT PERMISSION for my child to walk / bike home.
I DO NOT grant permission for my child to walk / bike home.
Photography Consent:
As the parent / guardian, I understand that my child(ren) may be photographed or video recorded during normal VBS activities. I understand that these images or videos may be used in promoting VBS, either in print or on the internet.
Any Special Information:
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