2024 VBS Child Registration Form

First Name

Last Name

Name Child Goes By

Home Address

Is your child a part of CASA? (Church After School Association)

Yes

No

Birthdate

Gender

Male

Female

Parent Phone Number or Cell Phone

Grade Completed in May 2024

VBS NURSERY is available for children whose parents are teaching OR volunteering during Vacation Bible School. If you are a teacher or volunteer and need childcare, please check age below and complete the form in its entirety.

Birthdate

Allergies (Both dietary and environmental)

Emergency Contact Name

Emergency Contact Phone Number

Does Calvary have permission to share pictures of your child on Calvary's website and social media pages?

Yes

No

List below the names of all individuals with permission to pick up your child AND their relationship with your child. Make sure you include yourself. (example:father/grandparent/neighbor/daycare center)

Is there any individual without permission to pick up your child?

Yes

No

If the above answer is yes, please share who can not pick your child up.

If any answers were checked above, please give us further information.

Is your family actively attending a local church in our area?

Yes

No

If you are actively attending a local church, we would love to know where!

Has your child made a public profession of faith?

Yes

No

T-Shirt Size

Parent or Guardian Signature Only