VBS Signup-Morningside New

Child's Name

Mailing Address

Grade COMPLETED this year

Parent(s) Name (first and last)

Cell Number or Best Number to call during VBS

Emergency Contact Other than Parent (First and Last Name and Number)

Please List any medical information we may need to know about your child. Be specific. (Examples: diabetes, asthma, ADHD)

Please list any medications your child is currently taking.

Please list any food allergies or other allergies your child may have.

Do we have permission to take your child's picture and post it on our website and/or church Facebook and Instagram accounts?

Yes

No

Is there anything else we need to know about your child?