Vacation Bible School

* First Name

* Last Name

* Email

* Address

* Mobile Phone

* Home Phone

* Name of Home Church

* Emergency Contact

* Alternate Pick Up Person & Phone Number

* Relationship to child

* Image/VIdeo Permission: I hereby grant permission for Calvary Assembly of God Church, Cobleskill, to record sounds, images, and video of my child while attending this VBS program. I also give permission for CAG at its sole discretion, to use these sounds, images, and videos in publications (including print, websites, and social media platforms) in relation to this VBS program.

Student

* Child's Name

* Child's Age

* Birth Date

* Gender

* Grade in School

* Food Allergies

* Medical Information

Student

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