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V.B.S. Game Day Central
Preregistration Form

(Only one needed per family Unit)

We're excited you are coming! Please tell us a bit about who you are and who's coming with you.

Name(s) of Child(ren) and Ages
Parent(s) / Guardian(s) Name(s)
Street Address
City
State
Zip
Phone Number(s)
E-Mail(s)
Medical or other information we need to know (Please include food allergies)
Emergency Contact(s)
Who may pick up your child at the end of VBS each day?
The church you attend most often
How often have you attended in the past three months?
Every week Several times per month Once or twice
May we have permission to photograph your child?
Yes No
May we have permission to photograph your child?
Yes No