VBS VBS Registration Form If you are human, leave this field blank. Child's Name * Parent/Guardian Name * Home Address * Email * Home Phone * Cell Phone * Work Phone Date of Birth * Age * Last School Grade Completed * Shirt Size * Home Church Allergies/Medical Information Photographs of my child may be used for promotional purposes by Pleasant View United Methodist Church. Yes No Emergency Contact (Other than persons listed above) please include name and phone number * Emergency Contact (Other than persons listed above) please include name and phone number * Dismissal Information (please list persons other than those above who may pick up this child from VBS) Does this child have any other siblings also attending this VBS? If so, Please list all with names and grades Who invited you to VBS this year? Captcha Submit
