*1.Child's Name(Required.)

*2.Grade your child just finished(Required.)

Pre K

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

FIfth Grade

*3.Child's Shirt Size(Required.)

*4.Siblings Also attending VBS -(Required.)

Name/Grade/ Shirt Size

Name/Grade/ Shirt SIze

Name/Grade/ Shirt Size

Name/Grade/ Shirt SIze

*5.Parent Information(Required.)

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

*6.Does your child(ren) have any allergies?(Required.)

*7.Are there any medical concerns?(Required.)

*8.Emergency Contact (Required.)

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

9.List of people who may pick up your child - Picture ID required

Name

Address

City/Town

State/Province

ZIP/Postal Code

Phone Number

10.List of people who may pick up your child - Picture ID required

Name

Address

City/Town

State/Province

ZIP/Postal Code

Phone Number

*11.Faith Presbyterian Church has my permission to photograph my child(ren) for the expressed use on our website, social media page, or in house communications.  No child's name will be published.(Required.)

Yes

No

*12.In case of emergency I give permission for any of the above individuals to be contacted and my child released to them as well as permission to have my child transported to the nearest hospital.  I also give permission for any volunteer to administer first aid/emergency treatment if needed.(Required.)

Yes

No