VBS Registration Form

Parent's Name

First Name

Last Name

Phone

(###)

###

####

Emergency Phone

(###)

###

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

List any allergies or medical concerns

Put your child/ren's name and grade entering

Do you attend a church? If so, which church?

Fardale Trinity Church will take photographs during VBS week ONLY to be shown during the VBS Closing Picnic

I have read this

Indicate Yes or No. Additionally, I give Fardale Trinity Church the permission to use photographs of my child solely for the church's website. Fardale Trinity Church will never publish a child's name or personal information with any of its publications.