VBS Registration Form — First Baptist Miami

Registration Form

Child's Name

First Name

Last Name

Parent / Guardian Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mailing Address (If Different)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent / Guardian's Phone Number

(###)

###

####

Second Contact's Phone Number

(###)

###

####

Birth Date

YYYY

Last Grade Completed in School

Medical Information

Medical or other information we need to know. Please include any food allergies. Please put N/A if this does not apply to you.

Emergency Contacts

If different from above, please include here with relationship to child.

Dismissal Information

Who may pick up your child at the end of each VBS day?

Does your child attend Sunday School somewhere? If so, where?

If your child is a guest, who invited them or how did you hear about VBS?

May we have permission to photgraph your child?

Yes

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

Yes