BUILD VBS Registration

• • VBS attendee name*
    Name of child(ren) attending
    First Name

    Last Name
  • VBS attendee name
    Name of child attending
    First Name

    Last Name
  • VBS attendee name
    Name of child attending
    First Name

    Last Name
  • Name of adult picking up child*
    ID will be checked to make sure children are being picked up by the appropriate person.
    First Name

    Last Name
  • Name of adult picking up child
    ID will be checked to make sure children are being picked up by the appropriate person.
    First Name

    Last Name
  • Name of adult picking up child
    ID will be checked to make sure children are being picked up by the appropriate person.
    First Name

    Last Name
  • Emergency Contact Number*
    Just in case we need to get in touch with you.
     

    (###)

    -

    ###

    -

    ####
  • Emergency Contact Number
    Just in case we need to get in touch with you.
     

    (###)

    -

    ###

    -

    ####
  • School Grade ex: 4th grade*
    Please let us know what grade your child will be going into.
    >KindergartenFirst Grade Second GradeThird GradeFourth GradeFifth GradeSixth Grade
  • School Grade ex: 4th grade
    Please let us know what grade your child will be going into.
    >KindergartenFirst Grade Second GradeThird GradeFourth GradeFifth GradeSixth Grade
  • School Grade ex: 4th grade
    Please let us know what grade your child will be going into.
    >KindergartenFirst Grade Second GradeThird GradeFourth GradeFifth GradeSixth Grade
  • Allergies*
    Are there any allergies that we need to be aware of? Ex: allergic to peanuts and gluten
  • Other information*
    What else do we need to know about your child? Are there physical limitations, special needs, behavior issues, etc.
  • How did you hear about our BUILD VBS
    >WebsiteMail FlyerSocial MediaFriend invitation
  • Contact Information
    We'd love to have you be a part of Memphis Grace Church! Would you like to be kept up to date with future children's ministry events and other events at Memphis Grace? If so, please provide an email address.
• 
  Submit