Galactic VBS Child Participants
You are registering your child for CCTO's Galactic VBS, June 22nd-25th. Please fill out the following with your child's information.
*
Child
First Name
*
Child
Last Name
*
Child
Email
*
Child
Address
*
Child
City
*
Child
Zip/Postal Code
* Grade Entering
Select one
TK
K
1st
2nd
3rd
4th
5th
* Child's School Name
*
Child
Parent's/Guardian's Full Name
* Parent Cell Phone
*
Child
2nd Parent's/Guardians Name
* 2nd Parent/Guardian Cell Phone Number
* Allergies or Medical Concerns (Include any information on needed medication that your child needs to have with them during VBS)
*
Child
Emergency Contact Name and Number
* List the names of people who can pick up your child
* Home Church
* Will you be purchasing a T-shirt for your child?
Select one
Yes
No
What size shirt will you be purchasing?
Select one
child x-small
child small
child medium
child large
adult small
adult medium
adult large
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