STAUNTON

K - 5th Grade VBS Registration Form (1 per child)

Child's Name *
Child's Name
(K - 5th Grade)
Classroom info
Birthday *
Birthday
Must be going into K-5th 2019 school year
Contact and Emergency info
Contact's Phone Number *
Contact's Phone Number
Food Allergies, Bee Stings, etc. BRING MEDICAL DEVICE IN NAME LABELED BAG
Permission to include your child's photographs (taken at VBS/VBX) shown on website, social media, promotional materials, etc *
*Includes daily recap videos/photos Pictures and videos are taken each night during VBS
Cross Church has permission to transport your child to the Community Memorial Hospital of Staunton Emergency Room in the event your child should need emergency medical treatment *

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