VBS Registration Parent/Guardian's Name (required) Address Home Number Cell Number Work Number Email Address (required) Child's Name (required) Child's Gender (required) MaleFemale Child's Date of Birth (required) Child's Last Grade Completed by Summer 2019 (required) NurseryPreschoolKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade Home Church Information Medical Information (medications, allergies, etc.) Emergency Contacts Other Than Listed Above Who May Pick Up Your Child After VBS Each Day? May we have permission to photograph your child during the week for promotions (GRBC Instagram, Twitter, Facebook)? YesNo Please register my child for Wacky Water Wednesday as well Yes