VBS Registration 2022 - Sager Creek Community Church

Child's Information

Name

Completed Grade

Birthday

Allergies or medical conditions

Parent/Guardian Information

Parent/Guardian A

This address will receive a confirmation email

Address

Cell Phone

Name of home church (if any)

Parent/Guardian B (or emergency contact)

Cell Phone

Please do not release my child to the following person(s):

The above statement does not apply.

PLEASE NOTE: Children will only be released to the person presenting the church issued name card.

Description

June 6-10 (9am-Noon)

Please complete a form for EACH child. Child must have completed Kindergarten thru 4th grade.