1.VBS Student's Name

2.VBS Student's Age

3.Guardian, Emergency Contact, Authorized Pick-Up Name(s)

4.Guardian/Emergency Contact(s) (phone, email, etc.)

5.Any Known Allergies, Medical Conditions, Special Needs, Dietary Restrictions?

6.Photo & Video Consent - I give permission for VBS to photograph and/or video my child during VBS activities. Photos/videos may be used on church websites, social media, newsletters, or future promotional materials.

Yes, I consent

No, I do not consent