VBS Sign up — New Life Fellowship Church

Child's Name

First Name

Last Name

Parent/Guardian Name

First Name

Last Name

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone

Country

(###)

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Work Phone

(###)

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Email

Child's Birthday

Child's Last Completed School Grade:

Allergies

Emergency Contact (Must Be Different Than Registering Parent)

First Name

Last Name

Best Phone for Emergency Contact

Country

(###)

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Photo Release

Do you give permission to us to take photos of your child?