VBS registration form- July 22-26, 2019

Name:

Birthdate

Last school grade completed

Parent/Guardian's name:

Best Contact Number:

Address:

Email:

This address will receive a confirmation email

Allergies/Medical conditions:

Pick Up: List EVERY individual that can pick up your child: (ID's will be checked upon pick up)

Bus Info

We have a bus ministry that is able to pick up and drop off your child for VBS. In order for your child to ride on the bus we need consent that you are allowing us to pick up your child. By answering the questions that follow you are giving your consent for St Rose Community Church to pick up and drop of your child.

Will your child need to be Picked UP on the bus Yes No

Will your child need to be Dropped OFF on the bus Yes No

I am giving my consent for my child to ride the St Rose Community Church Bus Yes No

E-Signature

Additional Info:

Address for pick up/drop off if different than above

Description

Please fill out this form and click submit.

VBS registration form- July 22-26, 2019

Description

Please Fix the Following