Spark Studios! VBS 2022

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:
*Preferred Name for Name Tag:
*Parent/Guardian Name:
*Address:
*City:
*State:
*Zip:
*Cell Phone: (555-555-5555)
*Email:
*Birthday: (MM/DD/YYYY)
*Grade completed: (Choose your child's age or last grade completed)
Team request: (Is there someone that your child would like to be on a team with it. We'll do our best to accommodate requests)
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)
May we have permission to photograph your child?	Yes
May we have permission to use your child's photograph in church publications?	Yes
*Permission to attend: (By adding my digital signature, I give my child permission to participate in VBS and I hereby waive and release all rights and claims for damages that I may have against CLC, it's staff or volunteers)