Vacation Bible School: Who's My Neighbor

19 June 2017 - 6:00 pm

Savannah, GA

Keep this field blank:
Total children enrolled:
1. Child's First Name*:
Required field
1. Child's Last Name*:
Required field
1. Child's Age:
1. Child's Date of Birth:
1. Last School Grade Completed:
1. Tee shirt size:
 
2. Child's Name:
2. Child's Age:
2. Child's Date of Birth:
2. Last School Grade Completed:
2. Tee shirt size:
 
3. Child's Name:
3. Child's Age:
3. Child's Date of Birth:
3. Last School Grade Completed:
3. Tee shirt size:
 
1. Parent or Guardian Name:Phone:
2. Parent or Guardian Name:Phone:
Address:
City:
State:
Zip:
E-Mail*:
Required field
Home Congregation (if not Redeemer):
 
Emergency Contact
Name:
Phone:
Relationship to Child:
 
Allergies and Concerns
Please list any allergies (including food allergies) or other concerns the VBS staff should be aware of:
Concerns:
 
Pick-up Information
Person responsible for picking up this child at the end of each VBS night
Name:
Phone:
 
Consent to have my child/children photographed or videographed:
 
I have an older child that would like to help or participate during VBS:
Servant Camp Child's Name:
Servant Camp Child's Age:
Servant Camp Child's Date of Birth:
Servant Camp School Grade Completed:
Servant Camp Tee shirt size: