Grade in fall of 2021
Date of Birth
Primary Parent/Guardian Name
Primary Parent/Guardian Phone
Primary Parent/Guardian email address
Will this parent/guardian be the only one doing drop off/pick up?YesNo
Do you have a local church home---YesNo
How did you hear about our VBS program?---WebsiteSignPast AttendanceFriend
Any allergies we should be aware of?---YesNo
Any special requests / requirements for your child?---YesNo
As the parent or legal guardian of this child, Faith Reformed Church (FRC) is seeking permission to use photographs solely for in-house publications, slides, and videos. No names or personal information will be used in connection to this photo.
I grant FRC my permission to use photographs of my child.I do not grant FRC my permission to use photographs of my child.
“Please note that kids in the same grade will be together for all activities throughout the day so buddy requests within the same grade are not necessary.”