Shadow Society VBS - TBC Boyd, TX

VBS Registration Form

Please fill the form below and let us know if you give go ahead for this child's participation
Participant Name*

First NameLast Name
Age*
Grade Last Completed
Medical Problems/ Allergies / Special Needs*
Parent / Guardian's Name*

First NameLast Name
Phone Number (Primary / Emergency)*

Area CodePhone Number
Phone Number (Secondary)

Area CodePhone Number
E-mail*
Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Do you currently have a home church?

YesNo
If Yes, where?
Tell us how you learned about VBS at Trinity:

Trinity WebsiteFacebookRoad SignFlyer / PosterInvited by a friend
CONSENT FOR MEDICAL TREATMENT | As the parent or legal guardian of the above-named participant, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor. This care may be given under whatever conditions are necessary to preserve the life, limb, or well-being of my dependent.
By signing and submitting this registraiton form, you understand and agree to all policies.
Parent/Guardian Signature*

First NameLast Name
Today's Date*

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Comments and/or Questions:
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VBS Registration Form