Trinity Presbyterian Church - Vacation Bible School Registration

Child – First & Last Name(required)

Child – Date of Birth (required)

Child – Current Age(required)

What grade is your child just completing? (required) Pre-K

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

What size t-shirt does your child wear? (required) Youth XS

Youth Small

Youth Medium

Youth Large

Youth XL

Adult XS

Adult Small

Adult Medium

Adult Large

Adult XL

Does your child have any food allergies? If yes, please list allergies below.

Does your child have any medical concerns? If yes, please explain medical concerns below.

Parent/Guardian – First & Last Name(required)

Parent/Guardian – Phone(required)

Parent/Guardian – Email Address(required)

Parent/Guardian – Street Address(required)

Emergency Contact – First & Last Name(required)

Emergency Contact – Phone Number(required)

Emergency Contact – Relationship to Child(required)

Who is authorized to pick-up your child? (required)

What is the name of your home church?