VBS 2017 Registration Galactic Starveyors
VBS 2017 Registration "Galactic Starveyors"
Child’s Name  * 
Child's Birth Date  * 
Last Grade Completed  * 
Medical Information (Please include any need-to-know information and any food allergies here.)
Parent/Guardian Name  * 
Address  * 
Mailing Address (If Different)
Main Phone Number  * 
Secondary Phone Number  * 
Your Email Address  * 
Emergency Contacts (Other than listed above)
Who may pick up your child at the end of each VBS day? (We will only release children to people on this list.) * 
Does your child attend Sunday School anywhere?  * 
What church does your child attend? (Leave blank if none)
May we have permission to photograph your child?  * 
May we have permission to use your child’s photograph for the purpose of promotion?  * 
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