VBS Registration — Cottonwood Presbyterian Church

Cottonwood Presbyterian Vacation Bible School

You do not need to fill out multiple forms for more than one child. Please list all children's names/information on one form.
If you have any questions or concerns please contact Anna Fossey at youth@cottonwoodpress.org

Child Name(s):

Address:

Ages(s):

Birthdate(s):

Last School Grad Completed:

Parent/Guardian:

Name, Phone Number, Email

Emergency Contact #1

Name and Phone Number

Emergency Contact #2

Name and Phine Number

Person #1 with permission to pick up this child from VBS:

Name and Relationship to child

Person #2 with permission to pick up this child from VBS:

Name and Relationship to child

Person #3 with permission to pick up this child from VBS:

Name and Relationship to child

Allergies/Medical Information/Food Needs/Other Concerns:

Home church