Child's Name
Parent's Name
Address
City
State
zipcode
Home telephone
Cell phone
Home e-mail address
Number of family members participating in VBS
Will parents be helping in any other areas of VBS?
YES
NO
Where?
In case of emergency, contact (name/phone)
*
Allergies or other medical conditions
Home church
Name of special friend your child might like to be with
T-shirt Size
*
Small
Medium
Large
XL
Will you allow us to use your child's picture in church materials, newsletters, newspaper and on websites? We are sensitive to the need to protect the identity of your child. No child will be identified in the images or video we use.
Photo Release
*
YES
NO
Oikos name (for church use only)
