Vacation Bible School

2025 Bermudian Church VBS Registration Sign-up form --- If you have multiple children to sign up, come back after hitting submit to sign up the next one. Thank you

Child's Name

Childs first and last name

Child's Age

childs age

Date of Birth - must be XX/XX/XXXX - so July 7th would be 07/07/2024 (year of birth)

date of birth

Last Grade Completed

last grade completed

Name of Parents
name of parents

Address, including Town/City, State and Zip Code

address

Home Telephone #

xxx-xxx-xxxx

Cell Phone #

cell phone

Email address

email address

In Case of Emergency - Contact

in case of emergency contact

Emergency Contact Relationship to Child

Please select an option...

If other, please explain

Please enter information...

Emergency number of contact chosen

Emergency number of contact

Home Church

Home Church

Allergies or medical conditions

If your child has allergies or medical conditions that staff and volunteers need to be aware of - please list here. If none, type N/A

T-Shirt Size

t-shirt size

Please Choose One - Permission for Pictures

Please check... YES - I give permission for my child's picture to be taken and publicized for our church.

Please check...NO - I do not give permission for my child's picture to be taken and publicized for our church.

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