VBS Registration Form

Please fill out this form and click submit.

KINGDOM KIDS VBS REGISTRATION FORM
Legacy Church Marysville
July 6–8
Time: 6pm - 7:30pm
Location: 304 Cameron St Marysville PA 17053

Welcome to Kingdom Kids - Armor of God VBS! We are excited to have your child join us for a fun and faith-filled time of Bible lessons, worship, activities, crafts, games, and snacks!

Child's Information

Child's First & Last Name (only 1 child per form)

Child's Age

Date of Birth

T-Shirt Size

Parent / Guardian Information

This address will receive a confirmation email

Phone

Address

Emergency Contact Information

Emergency Contact Name

Relationship to Child

Phone

Medical Information

Does your child have any allergies?

Please select one option.

Yes No

If yes, please explain:

Does your child have any medical conditions or special needs that we should know about?

Please select one option.

Yes No

If yes, please explain:

Pick Up Authorization

Pickup Procedure

Arrive by 7:15pm for pick up
Parent/guardian/authorized individual must come inside to pick up in person

ID may be required

Only authorized individuals listed may pick up your child

Who is Authorized to Pick Up the Child? (List the first & last name, phone number & relationship to the child below)

Photo / Video Permission

I give permission for my child to be photographed or recorded during VBS activities for church use, including social media, website, and promotional materials.

Please select one option.

Yes No

Attendance

My child will attend these days:

Please select all that apply.

All 4 Days Monday, July 6th Tuesday, July 7th Wednesday, July 8th Sunday, July 12 (VBS Kids Finale On Stage Presentation at 10:00 am)

Church Home

Do you currently attend a church?

Please select one option.

Yes No Sometimes

If yes or sometimes, where do you attend?

Questions?

Do you have any questions, concerns, or anything you would like us to know?

Parent / Guardian Consent

I understand that every effort will be made to provide a safe environment for my child during VBS. In the event of an emergency, I authorize Legacy Church Marysville staff or volunteers to secure medical treatment for my child if I cannot be reached immediately.

Please select one option.

Yes No

Date of Consent

Description

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VBS Registration Form

Description

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