REGISTER BELOW!!

PARTICIPANT'S NAME (required)

AGE (required)

GRADE (grade completed)(required)

SEX (required)

PARENT/ GUARDIAN NAME (required)

PHONE NUMBER (required)

EMAIL (required)

STREET ADDRESS (required)

CITY (required)

STATE (required)

ZIP (required)

MEDICAL INFORMATION (such as allergies) (required)

Name of person who will be bringing and picking up child from VBS (if other than parent/guardian)

Relationship to Child

Phone Number

I would like to be contacted about future events at Garden City Baptist Church (required)

Permission for my child to be photographed during this event? (required)
YesNo

Permission to use my child's photograph and/or likeness for the purpose of promotion? (required)
YesNo