Vacation Bible School Registration : Spring Valley SDA Church Spring Valley NY

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Full Name of Child

Age:

Grade Completed:

Allergies (including food allergies): - If your child has food allergies, please specify:

Medical Conditions or Illnesses: - If yes, please provide details: - Special Needs or Accommodations (if any):

Parent/Guardian Name

Relationship to Child:

Phone

Address

Name of Emergency Contact

Relationship to Child:

Phone

Will your child be attending all days of VBS?

Yes No

If not, which days will your child attend?

Are you interested in volunteering during VBS?

Yes No

If yes, what areas are you interested in? (e.g., teaching, crafts, snacks, etc.)

Do you give permission for your child's photo to be taken and used in church publications or social media?

Yes No

Will you be providing transportation for your child?

Yes No

If not, please specify if your child needs transportation assistance.

Is there anything else we should know about your child or any questions you have?