Praise Church - VBS INFO

VBS Child information form

Childs First Name

Childs Last Name

Parent or Guardians Name

Last Name

Parent or Guardians Phone Number

Address 1

Address 2

Country

City

State

Zip/Postal Code

Childs date of birth

Childs Age

Special Needs/ Allergies/ Medical Information

Emergency Contact.

First Name

Last Name

Phone Number

Names of person(s) who may pick up your child from VBS

VBS photos/videos are taken for promotional purposes related to Praise Church and Vacation Bible School. These pictures appear on our facebook page and webpage. Do you allow your child to be included in these photos/videos?

I consent
YES
NO

Consent and Certification I, the undersigned, being the parent or legal guardian of the child named above, do hereby consent to the participation of my child in all Vacation Bible School activities . Further, I certify that my child is physically able and adequately prepared to participate in all events.

First Name

Last Name

Submit