VBS 2008 Registration
VBS is for children who have completed kindergarten through fifth grade. Also be sure to list younger children if a parent will be working on campus the week of VBS.

Child's Name:
Gender:
Birth Date:
Age:
Grade (Just Completed):
T-Shirt Size:
Special Needs/Allergies:
Match with Friend:

Second Child (If Applicable)
Child's Name:
Gender:
Birth Date:
Age:
Grade (Just Completed):
T-Shirt Size:
Special Needs/Allergies:
Match with Friend:

Family Information:
Mailing Address:
Zip Code:
Home Phone:
Cell Phone:
Work Phone:
Mother's Name:
Father's Name:
Emergency Contact:
Emergency Contact Number:
Are you a member or regular attender of NWBC?
Are you a member of another church? (If so, please enter the name):
If a parent will be volunteering on campus, please list where you will be serving:

Drop Off, Pick Up Information
If someone other than a parent will be dropping off or picking up your children, please provide their information below:
Name:
Address:
Phone: