Victory VBS Child Registration Form - New Life Kittitas
Please fill out this form and click submit.
June 24-28th, 6-8:15 pm. All Kidz K-5th grade are invited to register below. Join us as we focus on remembering who God is, what He has done, and what He promises to do! Invite all your friends to join us in a Victory filled week! There is no cost.
Name of Child
*
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Date of Birth
*
Age
*
Grade Completed
*
Parent/Guardian
*
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Phone # of where you will be during VBS
*
Names of people, other than parent/guardian listed above, that may pick up registered child. Please have these people bring identification with them when picking up. Please state 'not applicable' if only the parent/guardian listed above is allowed to pick up registered child.
*
Home Church
*
Email
*
This address will receive a confirmation email
Emergency Contact and Phone #
*
Special Needs/Allergies/Other Concerns
*
Special note: In an effort to release the kids as early as possible in the evening dinner/snack will not be served. Please check that you have read this note.
*
Please select all that apply.
I have read the note.
Please check 'okay' to acknowledge that you understand your child's photo may be taken during VBS and that it is possible their photo may be used by New Life in church publications including website and Facebook.
*
Please select all that apply.
Okay
Submit
Description
Please fill out this form and click submit.
×
Please Fix the Following