Vacation Bible School Registration Form

July 22-26, 9:00am-12:00pm | Thank you for your interest in registering your child for our VBS! Please fill out the following form, one per child. If you have any questions, please contact Lydia at lkinde@branchsd.org

Please fill out one form per child

Child's Name

Child's Gender

Please select one option.

Boy Girl

Child's Age

Please select one option.

5 6 7 8 9 10 11 12

Child's Birthdate

Child's T-shirt Size

Please select one option.

Child XS (2-4) Child S (6-8) Child M (10-12) Child L (14-16)

Names of Parent/Caregiver(s)

Street Address

Parent/Caregiver's Email

This address will receive a confirmation email

Parent/Caregiver's Phone

Home Church

If there are any family or friends attending VBS that you would want your child to be grouped up with, please list them here.

Please list any other people authorized and expected to pick up your child from VBS as well as their relationship with your child

Health Information

Food Allergy Information

Please select all that apply.

None Gluten Free Dairy Free Nut Free Other (please specify below)

Food Allergy Information

Other Medical Conditions? (Please Specify)

In Case of Emergency, Contact: (name and phone number)

Emergency Contact's Relationship to Child

Please select one option.

Father Mother Grandparent Family Friend Other

Description

July 22-26, 9:00am-12:00pm

Thank you for your interest in registering your child for our VBS! Please fill out the following form, one per child. If you have any questions, please contact Lydia at lkinde@branchsd.org

Vacation Bible School Registration Form

Description

Please Fix the Following