VACATION BIBLE SCHOOL REGISTRATION

Fillout the form and submit for each student or print form to bring to church.
Name Birthdate Grade Just Finished/Age
Name Birthdate Grade Just Finished/Age
Name of Home Church
Address
Email
Name Birthdate Grade Just Finished/Age
Name Birthdate Grade Just Finished/Age
Phone Number
Work Phone Number
Allergies or other Medical Concerns
Parent's Name
Photo Release: Grant permission for ILC to use pictures of my child on website/Facebook.
Emergency Contact: Phone Number
Emergency Contact: Phone Number
Parent/Legal Guardian Print Name
Parent/Legal Guardian Signature
Submit