VBS

Parent/Guardian Name *

Parent/Guardian email *

Parent/Guardian Phone Number *

To be used in case of emergency.

Child Name - Age - Grade *

Is your child allergic to anything? *

My child will be attending: *

Does your child have family or friends also enrolled in VBS (please list name and age)

Does your child attend church anywhere other than GlorylandWaco? If yes, please list the church name.

Picture release: *

Any additional comments or concerns you would like us to be aware of with your child: