Abbotsford Seventh-day Adventist Church

Abbotsford | BC
Kids in the Workshop

Firstname: *
Lastname: *
Parent Name: *
Street:
City:
State:
Zip:
Phone (Emergency Contact): *
Email address: *
Gender:  Male;   Female;  *
Food Allergies or important health information:
Child's physician and phone number: *
By checking this box, I (parent or guardian) give permission to the Kids in the Workshop VBS staff to transport (or contact EMS for transport) my child to the nearest urgent care clinic or hospital for emergency treatment.  Yes, I give permission;  *
Age: *
Fields marked with an * are required.