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Pre-Register For VBS 2024
Student Name
Student's Birthday
Grade Last Completed
Cell Phone
Age
Home Phone
Work Phone
Address
Parent/Family/ Guardian Name
Email
Home Church (if any)
Special Needs/Allergies/Medical Information/Other:
Photo Release: Crossroad Church/VBS has my permission to use my child’s photograph publicly in VBS materials. I understand the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.
Emergency Contact #1
Emergency Contact #2
Emergency Contact #1
Emergency Contact #2
Name(s) of person(s) who may pick up this child from VBS
Register
Thanks for registering!
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