Spark VBS Stinnett
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.)
Personal Information
*Participant's First Name:
*Participant's Last Name:
*Preferred Name for Name Tag:
*Grade Completed:
*Parent/Guardian Name:
*Bus:
(Please let us know if your child will NEED a ride to VBS!)
*Address:
*City:
*State:
*Zip:
Primary Phone:
(555-555-5555)
Work Phone:
(555-555-5555)
Cell Phone:
(555-555-5555)
Email:
*Birthday:
(MM/DD/YYYY)
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?
Do you attend Church?
If so, where?
May we have permission to photograph your child?
May we have permission to use your child's photograph in church publications?
Comments:
Gender:
2001-2024 Lifeway Christian Resources3.20.03
Privacy
Contact
Support