Vacation Bible School Registration

Child First Name

Child Last Name

Child's age or completed grade

Parent/Guardian name

Address

Contact number

(###)

###

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Email address

Allergies or medical concerns

*Snacks and outdoor activities are part of the VBS schedule.

Photo Release: We will be taking pictures throughout the week of VBS. May we use images of your child on GBC's social media or future publications?

Yes

Please list any additional adults authorized to pick up this child.

Placement requests

*List any child or adult volunteer your child would like to be placed with. Note we cannot guarantee we can fulfill all requests, but will do our best.