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                                            VBS 2021 Online Child Registration Form
                                       Dates: July 18th - 21st
​                                            A registration form needs to be completed for every child under the age of 18.
​                                     Please submit your answers the questions below into the "Comment" box by July 9th.

1. Student's Name
​2. Current age
​3. Date of birth
​4. Allergies/Medical conditions
​5. Parent/Guardian name
6. Address (with city and zip code)
​7. Phone number
​8. Emergency contact name, number & relation to child
9. Home church
10. Person other than parent authorized to pick up your child
​11. Riding the church bus (Yes or No)
​12. Permission to upload a photograph or video of your child to social media (Yes or No)


    Please put the parent/guardian name and email below.
    On the "Comment", answer the questions listed above in numerical order.