Vacation Bible School 2023 Registration

Child's Information

Child's Full Name

Date of Birth

Child's Age

Names of Siblings Attending

Parents' Names

Address

Parent/Guardian Information

Address if different from child's

Cell/Home Phone

Guardian’s name for pick up / drop off if it’s not parents

Medical Information

List of child's allergies

Does your child need any medical attention? (ex: needing to take medication at a specific time)

Emergency Contact

Emergency Contact #1

Emergency Contact #1 Phone

Emergency Contact #2

Emergency Contact #2 Phone

I hereby grant permission for Abbotsford Seventh-day Adventist church to use pictures/videos that may include my child(ren) on their website or social media in conjunction with this VBS.

Yes No

Parent's Signature (please type your name below)

Abbotsford Seventh-day Adventist Church

Inspired By Jesus to Impact Abbotsford