Please fill out the following for EACH child that will be participating: 

VBS Registration

This field is for validation purposes and should be left unchanged.
Child's Full Name*
Gender*
Phone Number*
Mailing Address
Emergency Contact Phone Number*
Does your child have any allergies?
Does your child have any medical conditions or special needs we should be aware of?
Is your child taking any medications? (If yes, list and indicate if it needs to be administered during VBS)
Do you give permission for photos/videos of your child to be taken and used for church/VBS promotion?

 

Berkeley Springs SDA Church
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