VBS 2010 Registration Form

VBS 2011 Registration Form

Please Check the VBS Age Group of Your Child Preschool (Nursery-K4—The children or grandchildren of VBS volunteers ONLY!) Completed K5 - Completed 3rd grade Completed 4th - 12th grades (Mission Trips)
Child's Name
Parent/Guardian Name
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Home Phone (###) ###-####
Work Phone (###) ###-####
Cell Phone (###) ###-####
Email
Child's Age
Child's Birth Date
MM/DD/YYYY
Last Grade Completed in Schhol
Medical Information

Medical or other information we need to know. (Please include any food allergies.)
Emergency Contact (Other Than Parent) First Last
Phone (###) ###-####
Child’s T-Shirt Size Youth XS Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult XL
T Shirts will be provided at no extra cost however donations are welcome!
Do you attend a church, other than First Pres? If so where?
If you are visiting our church, who are you a guest of?
VBS snacks are all peanut free, yet might be processed in a plant that processes peanuts or tree nuts. If you have any questions, concerns, or need to send a special snack with your child, please contact Beth Ouellette at 244-7035 or Kristin Young at 244-1004.
In case of medical emergency, the VBS directors will make every attempt to reach the parent/legal guardian or the emergency contact listed above. I hereby give my permission to the physician selected by the VBS Director(s) to secure proper treatment and/or hospitalization for my child. I HEREBY WAIVE AND RELEASE First Presbyterian from ALL liability and agree to accept all medical expense incurred.
I hereby give my permission to First Presbyterian Church to use photographs or video taken of my child in publicity such as DVDs, newsletters, or the church website. I understand that my child will not be identified by name.
Parents of Mission Trip children: I give permission for my child to participate in the local missions within Greenville, SC. I understand that my child will either ride in the church vehicle or will ride with one of our chaperones in their vehicle.
Parent/Guardian Initial:

VBS 2010 Registration Form

VBS 2011 Registration Form

VBS snacks are all peanut free, yet might be processed in a plant that processes peanuts or tree nuts. If you have any questions, concerns, or need to send a special snack with your child, please contact Beth Ouellette at 244-7035 or Kristin Young at 244-1004.