VBS 2022

Only One Child Per Form, Please!

* Indicates required field

Child's Name *

Parent/Guardian's Name *

Address (#, Street, City, State, Zip) *

Mailing Address (if different) *

Main Phone Number *

Secondary Phone Number *

E-mail Address *

Age Information

Birthdate of Child *

Last Grade Completed in School *

Medical Information

Allergies (including food-related) and Any Other Medical Info We Need to Know *

Emergency Contacts

Name *

Phone *

Name *

Phone *

Who All Is Allowed to Pick Up Your Child at the End of the Night? *

Other Information

Does Your Child attend Sunday School somewhere else? *

Yes No

If "Yes", where? *

If your child is visiting our church, who is he/she the guest of? *

NOTICE: Please be aware that by registering for our Vacation Bible School and signing below, you are giving Highland permission to photograph your child participating in the event and use these photographs for the purpose of church promotion inside the church and online.

Please check to the box to confirm your agreement. *

I Accept These Terms

Please Write Your Name Representing Your Online Signature *

Submit

Spark Studios VBS 2022

June 6 - 10

Only One Child Per Form, Please!

Age Information

Medical Information

Emergency Contacts

Other Information

Services

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