VBS

Child's Name

First

Last

Gender

Boy
Girl

Child's Birthday

Child's Age

T-Shirt Sizes

Child’s Grade

(Grade that your child completed in Spring 2023-2024)

Parents’ Name

First

Last

Parents’ Cell Phone Number

Parent Email Address

Home Address

Please list any food allergies, dietary restrictions, or other allergies we should know about

Emergency Contact Name

First

Last

Emergency Contact Phone Number

Relationship with Emergency Contact

I hereby grant North Town church of Christ permission to photograph/film the minor(s) designated above in any matter or form for any lawful purpose associated with VBS, this also gives North Town church of Christ the right to post on social media with said pictures, and to use for future use.

Yes
No

May the Lord be with You! VBS 2025

VBS Registration Form