VBS Registration Form 2023 CBC TWIST AND TURNS VBS REGISTRATION JUNE 26-30: 9AM TO NOON AGES 4 THROUGH 6TH GRADE Child's Name(Required) First Last Parent/Guardian Name First Last Home Phone #Work Phone #Cell Phone #Email Birth Date (must be age 4 as of 1/1/23)(Required) MM slash DD slash YYYY Last grade completed in school(Required)Medical or other information we need to know. (Please include any allergies.)(Required)Does your child have an Epipen? Yes No Emergency Contact (other than listed above) First Last PhoneEmergency Contact (other than listed above) First Last PhoneOther than you, who may pick up your child at the end of each VBS day? First Last Does your child need transportation to and from Vacation Bible School? (a transportation form will need to be completed) Yes No Does your child attend Sunday School? If so where? If your child is visiting our church, who is he a guest of? May we have permission to photograph your child? Yes No May we have permission to use your child’s photograph for the purpose of promotion? Yes No Δ