CAMP CHAOS VBS Kids Registration 2025

VBS begins on July 28 - August 1 from 6:00 - 8:15 pm. Kids age 4 (by May 31st) through 5th grade.

Parent Information

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Child Information

Child 1 Name

*

Age = 4+

*

Grade (completed)

*

Please select one option.

Preschool Kindergarten 1st grade 2nd grade 3rd grade 4th grade 5th grade

Allergies/Medical Condition (Write None if no issues)

*

If visitor, who is your child coming with?

Child 2 Name

Age - 4+

Grade (completed)

Please select one option.

preschool Kindergarten 1st grade 2nd grade 3rd grade 4th grade 5th grade

Allergies/Medical Condition (Write None if no issues)

If visitor, who is your child coming with?

Child 3 Name

Age - 4+

Grade (completed)

Please select one option.

preschool Kindergarten 1st grade 2nd grade 3rd grade 4th grade 5th grade

Allergies/Medical Condition (Write None if no issues)

If visitor, who is your child coming with?

Child 4 Name

Age - 4+

Grade (completed)

Please select one option.

preschool Kindergarten 1st grade 2nd grade 3rd grade 4th grade 5th grade

Allergies/Medical Condition (Write None if no issues)

If visitor, who is your child coming with?

Emergency Contacts (other than you)/Dismissal Permission

Please list an emergency contact who may also pick up your child(ren) from VBS if necessary.

If there is anyone other than the parent picking the child(ren) up, please list them below.

Contact 1

*

Phone

*

Contact 2

Phone

Media Permission

I give permission for pictures/video to be taken of my child(ren).

*

Please select all that apply.

Yes No

I give permission for pictures/video of my child(ren) to be used on the church website, social media pages, or in the service.

*

Please select all that apply.

Yes No

Description

VBS begins on July 28 - August 1 from 6:00 - 8:15 pm. Kids age 4 (by May 31st) through 5th grade.

Please Fix the Following

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