New Life Church VBS 2022 Registration

Parent first name *

Parent last name *

Address *

City *

State/Province *

Zip/Postal Code *

Phone *

Email Address *

Please enter each child and their age that will be in attendance: For example: Angie, 7 Brandon, 10 *

Do(es) your child(ren) have any allergies? *

No

Yes*

*If yes, please explain: *

Please list an emergency contact and phone number: *

Will you be staying on site or dropping your child(ren) off for VBS? *

Staying

Dropping Off

Please sign *

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