VBS 2021 - Destination Dig

Participant Registration

If you or your child would like to participate in this event as a Participant, please complete the following form.

(If you are under 18, please have your parent or guardian complete the form.)

If you have previously registered with us for a prior event, you can search for your stored information instead of filling out the form below.

Personal Information

*Participant's First Name:
*Participant's Last Name:
*Parent/Guardian Name:
*Address:
*City:
*State:
*Zip:
*Home Phone: (555-555-5555)
Work Phone: (555-555-5555)
*Cell Phone: (555-555-5555)
*Email:
*Birthday: (MM/DD/YYYY)
*Last Grade Completed:
Allergies, Medical, & Special Needs: (Leave Blank if None)
*Emergency Contact Name (1):
*Emergency Contact Phone (1): (555-555-5555)
Emergency Contact Name (2):
Emergency Contact Phone (2): (555-555-5555)
*Authorized Pickup #1:
Authorized Pickup #2:
Are you a member of this church?	Yes
Guest of:
Do you attend Church?	Yes
*If so, where?
Comments:
Gender:
By registering your child, you understand they may be photographed or be in videos that may appear on our website or church publications. They will not be identified by name.