VBS 2022 Registration Form
Please fill out this form and click submit.
Attendee's Name
*
Date of Birth
*
Gender
*
Please select one option.
Male
Female
Select Option
Male
Female
Grade
*
Please select one option.
Preschool
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Select Option
Preschool
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Phone
*
Email
*
This address will receive a confirmation email
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Allergies, Medical Conditions or Special Needs
*
In case of emergency, contact: (Name and phone number)
*
Parent/Guardian Authorization
I, the legal parent/guardian, give permission for the above-named child to participate in Vacation Bible School (VBS).
*
Please select one option.
Yes, I give permission
No, I do not give permission
Select Option
Yes, I give permission
No, I do not give permission
I understand that it is my obligation to inform and update Watsontown Alliance Church if information contained in this form changes.
*
Please select one option.
I Agree
I Disagree
Select Option
I Agree
I Disagree
Watsontown Alliance Church uses social media in a positive way to reach out to the community. I understand that the church cannot guarantee that photos, videos or other communications of my child from VBS events will not be uploaded to social media sites.
*
Please select one option.
I understand and agree
I do not understand/agree
Select Option
I understand and agree
I do not understand/agree
By submitting this form, I agree to the above-listed statements.
*
Please select one option.
I agree
Select Option
I agree
Submit
Description
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