VBS Registration Form, Sandy Springs Baptist Church

Child's Name__________________________________________

Parent/Guardian Name __________________________________ 

Address (street address, city, state, zip) _____________________   

                                                                    _______________________

Mailing Address (if different)______________________________

 Phone Numbers

Home______________________________

Work_______________________________

Cell________________________________

E-mail______________________________

Age Information

Birth date ________________Grade just completed in school ____________

Medical Information (Medical or other information we need to know. Please include food allergies.) 

__________________________________________________

__________________________________________________

Emergency contacts (other than listed above)

Name____________________________Phone____________________

Name___________________________ Phone____________________

Dismissal Information

Who may pick up your child at the end of each VBS day?

_____________________________________________

Other information

Does your child attend Sunday School? If so where?

_____________________________________________

If your child is visiting our church, who is he or she 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______