Galaxy VBS Parent Info
Welcome to "
Galaxy"
VBS! Please enter
PARENT/GUARDIAN
info here (Kids' info will be on the next page). Thank you!
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Parent/Guardian
First Name
*
Parent/Guardian
Last Name
*
Parent/Guardian
Address
*
Parent/Guardian
Email
*
Parent/Guardian
Mobile Phone
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* 1 Emergency Contact Name & Phone
* 2 Emergency Contacts Name & Phone
* Home Church (if any)
* Name(s) of person(s) who may pick up this child
* Parent Signature: I authorize my child to attend and participate in all VBS activities.
* Photo Release:Vineyard Church/VBS has my permission to use my child's photograph publicly in VBS materials. I understand the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.
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