VBS 2022 Child Registration

Parent Name

Phone

Address

This address will receive a confirmation email

Emergency Contact Name and Phone Number *Different than above

Is Freedom Church your home church?

Yes No

VBS Sign up Here : Child Information (there are blanks available for up to 5 children)

Child's name

Please indicate your child's rising grade (the grade they are going into) for the 2022-2023 school year

Rising Kindergarten Rising 1st grade Rising 2nd grade Rising 3rd grade Rising 4th grade Rising 5th grade

Please list any allergies

2nd Child's name

Please indicate your child's Rising Grade (the grade they are going into) for the 2022-2023 school year Rising Kindergarten Rising 1st grade Rising 2nd grade Rising 3rd grade Rising 4th grade Rising 5th grade

Please list any allergies

3rd Child's name

Please indicate your child's rising grade (the grade they are going into) for the 2022-2023 school year Rising Kindergarten Rising 1st grade Rising 2nd grade Rising 3rd grade Rising 4th grade Rising 5th grade

Please list any allergies

4th Child's name

Please list any allergies

5th Child's name

Please list any allergies

VBS T-Shirts for Kids

If you would like to pre-order a Kid's T-Shirt you can do so now for the reduced rate of $15. Pick up will be at Family Night. T-Shirts will be $18 if not pre-ordered.

What size are you purchasing?

Questions below are for Multiple T-shirt orders.

What size are you purchasing for the second t-shirt?

What size are you purchasing for a third t-shirt?

What size are you purchasing for a fourth t-shirt?

What size are you purchasing for a fifth t-shirt?

If you did not purchase a shirt today, what size(s) would you purchase at VBS? (sizes and quantities not guaranteed ) Xsmall (4-5) Small (6-7) Medium (8-10) Large (12-14) Adult Small

See you soon!

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

VBS 2022 Child Registration

Description

Please Fix the Following