VBS Registration 2025 Register Here for the Crocodile Dock VBS (June 8-12) Child's Name(Required)Please enter your child’s first name, middle initial, and last name.Child's Gender(Required)Please specify whether the child is a boy or girl.Child's Age(Required)Please enter your child’s age as of the start of VBS, June 8, 2025.Birthday(Required) MM slash DD slash YYYY Please enter your child’s birthday.Grade(Required)Please enter the school grade completed by your child this past school year.Name of Parent(s) or Guardian(s)(Required)Please enter the name of the child’s parent(s) or guardian(s) during the week of June 8-12, 2025.Parent(s) or Guardian(s) Address(Required)Please enter the street address, city, state, and ZIP code.Parent(s) or Guardian(s) Primary Contact Phone Number(Required)Please enter the primary cell phone number for landline of the enrolled child’s parent(s) or guardian(s).Parent(s) or Guardian(s) Additional Contact Phone Number (Optional)OPTIONAL: Enter an additional phone number for the enrolled child’s parent(s) or guardian(s).Parent(s) or Guardian(s) Email Address (Optional)OPTIONAL: Please enter an email address for the enrolled child’s parent(s) or guardian(s).Child's Home Church (If Applicable)OPTIONAL: Please enter the child’s home church if he or she has one.Dismissal Information(Required)Who may pickup your child at the end of each VBS day?Emergency Contact(Required)In case of an emergency, please contact this individual first.Relationship to Child(Required)Please enter the emergency contact’s relationship to the child.Phone Number(Required)Please enter the emergency contact’s best phone number.Food Allergies (If Applicable)Please list any known food allergies your child may have (if applicable).Other Allergies (If Applicable)Please list any other known allergies your child may have (if applicable).Medical Conditions or Special Needs (If Applicable)Please list any medical conditions or special needs your child may have that you want our staff to be aware of.Permission for Treatment of Minor Injuries YES, I give Christ Community Church permission to have its trained and certified EMT personnel treat my child for minor injuries should any occur during VBS. NO, I prefer that Christ Community Church’s trained and certified EMT personnel NOT treat any minor injuries my child may incur during VBS. Photography & Video (Internal Use Only During VBS Week) YES, I give Christ Community Church permission to photograph or video my child for INTERNAL USE ONLY during VBS week. NO, I prefer that Christ Community Church not photograph or video my child even for INTERNAL USE ONLY during VBS week.
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