Child2

Flemingsburg Christian Church VBS Online Registration

2010

Child's Name
Parent/Guardian Name
Phone Numbers:Home,Work,Cell
Email
Birth Date
Grade child will be going into
Medical Information: Medical or other information we need to know. (Please include any food allergies.)
Emergency Contacts: Names and phone numbers
Dismissal Information: Who may pick up your child at the end of each VBS day?
Other Information:Do you attend Sunday School? If so where?
If you are visiting our church, who are you a guest of?
May we have permission to photograph your child?	Yes No
May we have permission to use your child’s photograph for the purpose of promotion?	Yes No
PLEASE NOTE: After hitting the send button you may be sent to a page that cannot be displayed. Please check the email account you registered with to confirm registration before trying the registration process again.