Redeemed Life Fellowship - VBS 2025

VBS Registration Form

Online registration for this event may only be completed by an adult eighteen years old or older. The registration of a child must be completed by that child's parent or legal guardian.

Yes, I am over 18 and the child's parent or legal guardian.

Participant's Name:

Parent/Guardian Name:

Cell Phone

Home Phone

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Birthdate

Age Verification: (I verify that my child turned 4 BEFORE September 30, 2024.)

Yes

Last Grade Completed:

Allergies, Medical or Special Needs (Leave Blank if none).

Emergency Contact Name #1:

Emergency Contact Phone #1:

Emergency Contact Name #2:

Emergency Contact Phone #2:

Authorized Pickup #1:

Authorized Pickup #2:

Please choose one of the following.

Either myself or and Authorized Person listed above will pick up my child

My child(ren) will be going home with a VBS Worker

May we have permission to photograph your child?

Yes

May we have permission to use your child's photograph in church publications?

Yes

(Optional) How can we be praying for you and your family?

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VBS Registration Form

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