Campus VBS Registration Form Child's Name(Required) First Last Child's Age(Required)Date of Birth(Required) MM slash DD slash YYYY Gender(Required) Male Female Current Grade(Required)Pre-SchoolKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th GradeAllergies and/or Medical ConditionsT-Shirt Size(Required)3 T4 TYouth SmallYouth MediumYouth LargeYouth XLAdult SmallAdult MediumMedia Release I give consent for my child to appear in photos or video footage of this event that may be used in future promotional materials. Parent Name(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email(Required) Mobile Phone(Required)Home Church(Required)Name of person(s) authorized to pick up this child after VBSThis field is hidden when viewing the formPlease list the names of any siblings who will be attending Campus VBS.After submitting the form please complete a separate registration for each child attending. Δ
