Game On VBS 2018

July 8-13, 6:00 - 8:45 pm | Please fill out this form and click submit.

Child's Name

*

Parent/Guardian Name

*

Address

*

Email

*

This address will receive a confirmation email

Home Phone

*

Cell Phone

*

Child's Birthday

*

Last Grade Completed

*

Medical Information (Please include any food allergies)

*

Emergency Contacts (Name and Phone numbers)

*

Child Pickup (please include all persons authorized to pick up child)

*

T-Shirt Size

*

Please select all that apply.

YXS YS YM YL YXL AM AL

Other Information

Church your family normally attends

I am a guest of

May we have permission to photograph your child?

*

Please select all that apply.

Yes No Option

May we have permission to use your child's photograph for the purpose of promotion?

*

Please select all that apply.

Yes No Option

Comments

*

Description

July 8-13, 6:00 - 8:45 pm

Please fill out this form and click submit.

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