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VBS Registration Form
July 19th - July 22nd | 5:30 - 8:00 PM | Dinner and Snack Provided
Parent Personal Information
Parent First Name
Parent Last Name
Address
City
State
Zip Code
Email
Cell Phone Number
Other Phone Number
Student Personal Information
Student First Name
Student Last Name
Age
Grade Beginning Fall of 2021
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
Gender
Female
Male
Student Allergies
Student Medical Issues or Special Needs
Other Information
Home Church (if Applicable)
I hereby grant First Church OKC permission to copyright and use photographs/videos taken at VBS of the minor designated above in any manner or form for any purpose lawful at any time. I waive any right that I may have to inspect or approve the finished product or written copy, that may be used in conjunction there-with, or the use to which it may be applied.
I agree
Emergency Contact
Contact First Name
Contact Last Name
Phone Number
Alternative Phone Number
Alternate Pickup First Name
Alternate Pickup Last Name
Alternate Pickup Phone Number
Alternate Pickup First Name
Alternate Pickup Last Name
Medical Release In Case of an Emergency & Permission to Attend
Medical Release In Case of an Emergency & Permission to Attend
Do you have any questions regarding VBS?
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