VBS Registration

Child First Name: *

Child Last Name: *

Child Gender: *

Birth Date:

Child Age: *

Grade Completed: *

Grade completed at end current school year

Parent Name: *

First and last name, please

Street Address: *

City: *

State: *

Zip: *

Phone Number: *

Email Address:

Church Provided Transportation Needed?:

No

Yes

Emergency Contact Person: *

First and last name, please

Emergency Contact Number: *

Do You Have a Church Home?: *

Yes

No

If yes, where do you attend? (optional):

May We Photograph Your Child?: *

Yes

No

Cross Keys Fellowship respects your and your child's privacy. We do take photographs of children during VBS activities - for internal use in our end-of-week slideshow, bulletin boards, etc. By selecting "yes", you agree that your child's image may appear in these internal-use items.

By default, we do not post photos online, neither on our website nor on Facebook, etc. We also will not use your child's image in any mailings/promotional materials. Should we wish to post images on any website or promotional mailing, we will contact you for express permission prior to posting any image including your child.

Allergies/Medical Needs:

Notes:

Current Events