Event Registration and Permission Forms

VBS/5-Day Club Registration

Use this form to register for VBS to be held on June 30th thru July 2nd from 6:30-8pm. We are partnering with CEF's 5-Day Club program (although it will only be 3 days)

VBS / 5-Day Club Registration

Child/Youth Name(Required)

First Last

Birthday(Required)

Age(Required)

Gender

Grade(Required)

School Name

Parent/Guardian Email(Required)

Enter Email Confirm Email

Parent/Guardian Phone Number(Required)

Mother's/Guardian's Name

First Last

Mother's Cell Phone

Father's/Guardian's Name

First Last

Father's Cell Phone

Additional Emergency Contact

First Last

Emergency Contact Phone

Relationship to Child

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Please list any known Medical Conditions and/or Allergies. Or any other information you would like us to know.

Photo Permissions(Required)

We occasionally take pictures during our events. We may use these pictures on our website, social media, or in presentations and slide shows within the church. Please let us know how you would like us to handle the pictures your child/youth is in.

Event Registration and Permission Forms

VBS/5-Day Club Registration

VBS / 5-Day Club Registration

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