2008 Vacation Bible School Registration Form

 

Tallowood Baptist Church, 555 Tallowood, Houston, TX 77024

713.468.8241

www.tallowood.org

Information on Parents/Guardian  
Parents First Name
Parents Last Name
Address
City
Zip Code
Home Phone Number
Work Phone Number
Cell Phone Number
E-mail address
Where can a parent be reached during VBS?
Emergency contact if parent cannot be reached. List person and phone number:
Church you attend:
Information on Children - 1st Child  
First Child's First Name
First Child's Last Name
Grade Completed
Age
Birthday
Gender
Allergic reactions to insect stings:
Yes No Other    
Allergic Reactions to ant bites:
Yes No Other    
Food allergies? Types?
If the person picking up the child is not the parent, please name and give relation:
Pictures:
  Please check here if you do not want pictures of your child used for church promotional purposes.
Second Child  
Second Child's First Name
Second Child's Last Name
Grade Completed
Age
Birthday
Gender
Allergic reactions to insect stings:
Yes No Other    
Allergic reactions to ant bites:
Yes No Other    
Food allergies? Types?
If someone other than parent is picking up child, list name and relation
Pictures:
  Please check here if you do not want pictures of your child used for church promotional purposes.
Third Child  
Third Child's First Name
Third Child's Last Name
Grade Completed
Age
Birthday
Gender
Allergic reactions to insect stings:
Yes No Other    
Allergic reactions to ant bites:
Yes No Other    
Food allergies? Types?
If someone other than parent is picking up child, list name and relation
Pictures
  Please check here if you do not want pictures of your child used for church promotional purposes.