VBS Child Registration Form Parent Name * First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Child #1 * First Name Last Name Gender * Male Female Age * 4 5 6 7 8 9 10 11 12 13 14 15 16 Prayer Request * How can I pray for your child? Child #2 First Name Last Name Gender Male Female Age 4 5 6 7 8 9 10 11 12 13 14 15 16 Prayer Request How can I pray for your child? Child #3 First Name Last Name Gender Male Female Age 4 5 6 7 8 9 10 11 12 13 14 15 16 Prayer Request How can I pray for your child? Child #4 First Name Last Name Gender Male Female Age 4 5 6 7 8 9 10 11 12 13 14 15 16 Prayer Request How can I pray for your child? Child #5 First Name Last Name Gender Male Female Age 4 5 6 7 8 9 10 11 12 13 14 15 16 Prayer Request How can I pray for your child? Parental Consent * I agree to allow my child/children to be recorded during VBS sessions. I understand that no information or images will be shared outside of the group without my expressed consent. You're almost there! Once you complete this form, you will be redirected to pay the necessary registration fee ($10 per child). Thank you! Thank you!
