Last Name |
|
First Name |
|
Grade Just Completed |
|
Preschool thru 5th grade
are welcome to VBS
(6th grade and up may serve as helpers) |
Parent Names |
|
Address |
|
City |
|
State |
|
Zipcode |
|
Email address |
|
Home Phone |
|
Cell Phone |
|
Emergency Contact Name and Phone # |
|
Relationship with child |
|
Does your child have any
allergies? (Yes/No) |
|
If so, please explain
(255 char max) |
|
All parents/guardians are requested to volunteer one day if able.
Please enter your day(s) preference.
Every Day (All)
Monday (M)
Tuesday (T)
Wednesday (W)
Thursday(Th)
Friday(F) |
|
Number attending barbeque
on Friday, including VBS child |
|
