VBS Signup Form
One form per family, please
Child's Name:
Grade completed:
Birthday:
Age:
Parents'name:
Address:
Email:
Home phone:
Alt phone:
Emergency contact person:
Relationship to child:
Home phone:
Alternate Phone:
Food allergies or medical problems:
Family Doctor:
Phone:
Siblings also attending VBS (name, grade completed and age)
How did you hear about the VBS?
Updated on ... May 17, 2003
Copyright © 2001 Messiah Lutheran Church
