Vacation Bible School

Vacation Bible School 2025

"Magnified"
PARENT/GUARDIAN INFORMATION:
Parents' Names
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
E-mail*
Does your family Regularly Attend Church?*
If so, where do you attend church?
Please list anyone who is NOT allowed to pick your child/children*
EMERGENCY INFORMATION
Emergency Contact (During VBS)*

First NameLast Name
Emergency Contact Phone Number*

Area CodePhone Number
1st CHILD INFORMATION:
Child 1 Name*

First NameLast Name
Last Grade Completed*
Birth Date Child 1*

MonthDayYear
T-Shirt Size Child 1
1st Child Medical Concerns or Allergy Information (Specify)*
If none, then type NONE
2nd CHILD INFORMATION:

(If Needed)
Child 2 Name

First NameLast Name
Last Grade Completed
Birth Date Child 2

MonthDayYear
T-Shirt Size Child 2
2nd Child Medical Concerns or Allergy Information (Specify)
If none, then type NONE
3rd CHILD INFORMATION:

(If Needed)
Child 3 Name

First NameLast Name
Last Grade Completed
Birth Date Child 3

MonthDayYear
T-Shirt Size Child 3
3rd Child Medical Concerns or Allergy Information (Specify)
If none, then type NONE
4th CHILD INFORMATION:

(If Needed)
Child 4 Name

First NameLast Name
Last Grade Completed
Birth Date Child 4

MonthDayYear
T-Shirt Size Child 4
4th Child Medical Concerns or Allergy Information (Specify)
If none, then type NONE
Should be Empty:

Vacation Bible School 2025