K - 5th grade VBS Registration Form 2024

June 24-28, 2024 | This form is to register your Rising Kindergarten - 5th grade child for VBS

Child's Information

Name

Grade

Please select all that apply.

Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Birthdate

Youth's T-Shirt Size

Please select all that apply.

Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult XL Adult XXL Adult 3XL

Is there anything you would like to share about your child that would help their group leader?

Each day, we offer a snack to the children. We are committed to having a gluten free option, but cannot accommodate every dietary need. Please indicate whether your child may have snack with us (S), if you request the gluten free option (GF), or if you will provide a snack for your child (P).

Please select one option.

S GF P

Photos are taken daily for educational and/or promotional purposes. Photos are also submitted to the newspaper or placed on the church website and Facebook page. Children's names are never placed in the newspaper or on the internet. Do we have your permission to use your child's image in this manner?

Please select one option.

Yes No

Allergies or Medical Conditions

Emergency Contact

Allergies

Please list any life-saving medications that you will be providing, including Epipen, Inhaler, etc. Any life-saving medication listed above must be provided to King of Glory while the child is in our care. By listing a medication below you give permission to King of Glory Lutheran Church to administer special medication should it become necessary. If not applicable please type NA.

Parent/Caregiver Section

Parent/Caregiver Name

This address will receive a confirmation email

Phone

Address

Home Church Affiliation

Description

June 24-28, 2024

This form is to register your Rising Kindergarten - 5th grade child for VBS

K - 5th grade VBS Registration Form 2024

Description

Please Fix the Following