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2023 VBS Registration
Child's Age
Child's Name
Male or Female
Male
Female
Last Completed School Grade
Parent or Guardian's Name
Address
Best Contact Number
Contact Email
Home Church
Child's Birth Date
Medical or Allergy Information
May we have permission to photograph or video your child? (for promotional use)
Yes
No
Emergency Contact Name
Emergency Contact Number
Who may pick up your child at the end of VBS each day?
If you are unable to present your parent pass card at check-out, you must show a photo identification card to pick up your child. I agree and hereby release all liability of Victory In Truth Ministries, employees and volunteers while my child participate
I Agree
Submit