VBS 2025 SIGN UP Child's Name: * First Name Last Name Gender: * Male Female Child's Age: * Date of birth: * Last school grade completed: * Pre-K Kindergarten 1st 2nd 3rd 4th 5th Permission to use pictures and video of child in VBS video and CCF website: * Yes No Name of parent/caregiver: * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Parent/caregiver cellphone: * (###) ### #### Email * Other than parents/caregiver listed, who else is authorized to pick up child from VBS? (Name and phone) * Allergies or other medical conditions * Is there anything you want us to know about your child? In case of emergency contact: * First Name Last Name Phone: * (###) ### #### Relationship to child: * Thank you for signing up! We can’t wait for VBS this year!
