Please fill out a separate form for each child attending. Thank you!

Child's Name (required)

Child's Age (required)

Child's Date of birth (required)

Grade child just completed (required)

Child's T-Shirt Size

Parent/Guardian Name (required)

Address (required)

City (required)

State (required)

Zip (required)

Home Phone (required)

Cell Phone (required)

Email

Parent Consent and Release: It is our desire at David's Community Bible Church to provide a safe and secure environment for all children who participate in our ministries. Pleas help us by completing this section:

I hereby consent to my child participating in the youth/children's ministries of David's Community Bible Church. YesNo

Emergency Contact Name (required)

Emergency Contact Number (required)

Name of anyone NOT allowed to pick up this child from VBS

Any special needs, allergies child may have or other concerns?

Nursery will be provided ONLY for volunteers or those attending the Ladies' Bible Study.

Names and ages of children needing nursery care

NOTE: You will be required to sign the consent form when you drop your children off at VBS.