VBS Registration Form | Calvary Chapel Fellowship

Child's name: *

First

Last

Gender *

Child's age: *

Date of birth: *

Last school grade completed: *

Child's shirt size: *

Name of parent(s): *

First

Last

Address *

Address Line 1

City

State

Parent/caregiver's cellphone: *

Email *

Other than parent(s)/caregiver listed, who else is authorized to pick up child from VBS? (Name and Phone)

Allergies or other medical conditions: *

In case of emergency, contact: *

First

Last

Phone *

Relationship to child: *

Permission to use pictures and video of child in VBS video and CCF website: *