Vacation Bible School Registration

Preschool Children ages 3 – 5

Name

First

Last

Age

First-time attending VBS with Trinity?

Yes
No

Address

Address Line 1

Address Line 2

City

State

Zip Code

Parent/Guardian Name

First

Last

Email

Cell Phone

Cell Phone Carrier

Emergency Contact Phone

Chronic or recurring illness or medical condition that may affect Bible School:

Dietary Restrictions we should know about:

Permission:

I give permission for my child to participate in all aspects of Bible School except as noted. I understand that every effort will be made to contact me if my child needs emergency treatment. I authorize medical personnel or VBS Staff to secure any medical treatment deemed necessary for my child. I give permission for pictures to be taken of my child to be used for promotional purposes (e.g. Facebook picture gallery.)

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