Oakton CoB VBS 2015
Please complete one registration for each child you are planning to have attend.
August 3-7, 2015  9:20AM to 12:30 PM
Sign in to Google to save your progress. Learn more
Child's First Name *
Child's Last Name *
What grade will your child be in next school year? *
What is your child's birthday? *
MM
/
DD
/
YYYY
Parents' Names *
Please give your first and last names.
Street Address *
City, State, Zip *
Primary Phone Number *
Please label as home, work, cell, etc.
Secondary Phone Number
Please label as home work cell, etc.
Email Address or Indicate Mail Service needed here. *
We will send confirmation and other information by email unless you indicate a need for mail service.
In case of an emergency contact: *
Please give relationship of the person indicated.  Provide at least 2 phone numbers beside your own.
Does your child have medical or allergy concerns? *
Required
Explanation of medical or allergy concerns.
Please be specific and let us know if mediation or epi-pens will be provided.
Vacation Bible School Donations to cover your child's expenses are requested. *
$20 per child, $40 family maximum.  Do you plan to
Do you grant permission for photographs of your child to be use on the church website or other promotional materials? *
No names will be identified with photos.
Required
Electronic Signature *
By typing your name here, you verify that all the information you provided is correct.
I am interested in volunteering!
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms