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Magnified VBS Registration
Parent/Guardian Name
Phone Number
Address
Apartment, suite, etc.
City
State
Zip/Postal Code
Number of Children you are registering
1
2
3
4
5
Child #1
Child's Name
Gender
Male
Female
I'd rather not say
Pre-School Classes
2 & 3 year old
4 year old
5 year old
Grade they just completed
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Is there anything you could tell us about your child that will help us minister to them more effectively?
Allergies
Child #2
Child's Name
Gender
Male
Female
I'd rather not say
Pre-School Classes
2 & 3 year old
4 year old
5 year old
Grade they just completed
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Is there anything you could tell us about your child that will help us minister to them more effectively?
Allergies
Child #3
Child's Name
Gender
Male
Female
I'd rather not say
Pre-School Classes
2 & 3 year old
4 year old
5 year old
Grade they just completed
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Is there anything you could tell us about your child that will help us minister to them more effectively?
Allergies
Child #4
Child's Name
Gender
Male
Female
I'd rather not say
Pre-School Classes
2 & 3 year old
4 year old
5 year old
Grade they just completed
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Is there anything you could tell us about your child that will help us minister to them more effectively?
Allergies
Child #5
Child's Name
Gender
Male
Female
I'd rather not say
Pre-School Classes
2 & 3 year old
4 year old
5 year old
Grade they just completed
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Is there anything you could tell us about your child that will help us minister to them more effectively?
Allergies
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