MBC Taylor VBS 2023 Registration Form

Student's Name *

Student's Address *

Student's Grade *

Completed Grade.

Student's Gender *

T-Shirt Size *

Parent Info

IMORTANT -- If you are registering for multiple children: please fill this section out completely for the first registered student and for each additional student only enter Parent 1's Name and put SAB (Same As Above) in the other fields, to save yourself some effort! :)

Parent 1's Name *

Parent 1's Email Address *

Parent 1's Cell Phone Number *

Parent 2's Name

Parent 2's Email Address

Parent 2's Cell Phone Number

Emergency Info

IMORTANT -- If you are registering for multiple children: please fill this section out completely for the first registered student and for each additional student only enter Parent 1's Name and put SAB (Same As Above) in the other fields, to save yourself some effort! :)

Emergency Contact 1 *

Persons to contact in case of an emergency if parent(s) cannot be reached. Please respond with the name, relationship, and phone number.

Emergency Contact 2 *

Persons to contact in case of an emergency if parent(s) cannot be reached. Please respond with the name, relationship, and phone number.

Food Allergies? *

If the student has any food allergies that are affected by snack time at VBS, or that leaders need to know about (such as an EpiPen), please list them here. Otherwise, reply "No" or "N/A".

Additional Info

In addition to this form, please note that you will have to print, fill out, sign, and return the "Medical Release" form on registration night. It is available here: https://tinyurl.com/37vbsrwx

Questions or comments?