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VBS 2022 Registration
Child Details
Child's Name (first & last)
*
Gender
Male
Female
Child's Birthdate:
MM slash DD slash YYYY
Grade in September 2022:
Child's Street Address:
City:
Postal Code:
Child's Home Phone Number:
Child's Health Card Number:
Does your child have any allergies?:
Yes
No
Please list all allergies here:
Special Needs / Behaviour Issues / Medications:
Does this child have other siblings attending VBS?:
Yes
No
Please list the names of the child's siblings:
Child's Friend Request during VBS (one mutual request not guaranteed):
First Emergency Contact
Emergency Contact's Name:
Emergency Contact's Phone:
Emergency Contact Relation to Child:
Second Emergency Contact
Emergency Contact's Name:
Emergency Contact's Phone:
Emergency Contact Relation to Child:
Parent/Guardian Information
Parent/Guardian Email (Required):
*
Names of Designated Drop-Off / Pick-Up Persons:
Do you have questions or comments for us?:
Review and Submit
Please review all the information above before proceeding.
*
I have reviewed all the information and it is complete to the best of my knowledge.
KWCF
Home
Connect
groups
Kids
PowerHouse Kidz Zone
Ladies
Men
Outreach
Volunteer
Worship & Arts
Young Adults
Youth
Sermons
Events
VBS
Resources
KWCF.LIFE
Calendar
Newsletter
Prayer Requests
RightNow Media
Give
Watch Live
Contact