Kid Side VBS - "Power Up" Child Registration
*
Child
First Name
*
Child
Last Name
* Parent/Guardian Name
* Parent/Guardian Email
* Contact Phone
* Elementary Grade Completed (for VBS)
Select one
N/A
Kindergarten (Must be 5 by July, otherwise register for Preschool 5's)
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade (Last Year)
* Preschool (Current Age) For VBS
Select one
N/A
Preschool 3 Year Old (Potty Trained)
Preschool 4 Year Old
Preschool 5 year old
*
Child
Birth Date
* Known Food Allergies (gluten,dairy,etc.)
* By selecting "Yes" I am granting permission to West Side Community Church to use photographs taken of my child in future publications distinctly for West Side.
Select one
Yes
No
* Home Church -
Select one
West Side Community Church
Attending Other
No Home Church
* Child T-Shirt Size
Select one
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
What you need to know about my child
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