VVCC 2016 VBS Registration

Children If using Internet Explorer, Safari or Firefox, all date formats are yyyy-mm-dd.

Child 1




Date of Birth  
Child 2




Date of Birth  
Child 3




Date of Birth  

Parent/Guardian



Contact Information







(if different than parent or guardian)

Allergies or special needs

Photo permission

May we have your permission to use your child's picture on social media and church promotions regarding VBS?    

Signature

By signing I give my child permission to participate in any and all Vacation Bible School activities.