Grace in Pagosa - VBS Sign Up

Vacation Bible School Registration

Child's First Name

Child's Last Name

Parent's First Name

Parent's Last Name

Email

Phone Number

Grade (going into):

In case of emergency, contact:

Allergies or other medical conditions?

Name of home church, if any:

I hereby allow/ do not allow permission for the churches to use pictures of my child for promotional or informational purposes:
ALLOW
DO NOT ALLOW

Anything else we need to know?