VBS Pre-Registration FormFirst Name *Last Name *Select *GenderMaleFemaleBirthday *Select *Last Grade CompletedKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeOtherStreet Address *Apartment, suite, etcCity *State *ZIP / Postal Code *Parent/Guardian 1 First Name *Parent/Guardian 1 Last Name *Parent/Guardian 2 First NameParent/Guardian 2 Last NameHome Phone/Cell Phone *Email Address *Emergency Contact First Name *Emergency Contact Last Name *Emergency Contact Phone Number *Relationship to Child *Food Allergies (please list or type "No allergies") *Medical Concerns (please list or type "No medical concerns")) *Select *I give permission to use images and videoYesNoSelect *I hereby grant permission (see description below)YesNoI hereby grant permission for Calvary Baptist Church to record sounds, images, or video of my child while attending Vacation Bible School. I also give permission for Calvary Baptist Church at its sole discretion to use those sounds, images or videos in publications (including print, website, and social media platforms) owned by Calvary Baptist Church.Submit