Vacation Bible School – Faith Temple COGIC

VBS Registration Form

Child Name *

First

Last

Age *

Grade in Progress; *

Parent/Guardian Name *

First

Last

Phone Number

Email *

Contact Information – Address, Relationship, Mobile Phone Number *

Emergency Contact Information – Name, Relationship, Phone Number *

Does Your Child Have Allergies? *

If Yes to Allergies please specify

Who may pick up your child at the end of VBS other than Parent or Guardian? List all names of those with permission.

Would you like information on church ministries and events