Faith in Action: Wooster Downtown
Vacation Bible School
Registration

Fill out separately for each child attending. Common information will be retained for each additional child.

Child's First Name:
Child's Last Name:
Home Address:
City:
State:
Zip:
Phone:
Email:
Gender:	Male Female
Age (by April):	years
Last Grade Completed:
T-Shirt Size

Please list the name and a phone number of where you can be reached during the week of VBS.
1. Parent/Guardian Name:
Phone:
2. Parent/Guardian Name:
Phone:

Child's Home Church (if any)

My child will be participating in the Afternoon Mission opportunities. This Afternoon Mission Program is offered Monday, Tuesday and Wednesday for children that have completed 3rd through 6th grades. Your child will need to bring a lunch each day.

Please complete the following information regarding transportation to and from Vacation Bible School: My child has permission to leave independently Picked up by parent(s) or adults listed: Adults not listed will need written permission to leave with your child. Photo identification will be requested by any person signing out a child from VBS.

Please share any helpful information about your child (special interests/hobbies, family, pets, etc.)


Medical Information
Please list any behavior, physical/emotional/mental health issues, etc. of which the staff should be aware:

Important: If your child is required to take any type of medication during the school year, please have your child take it during the week of VBS. Thank you!

If both of the child’s parents/guardians cannot be reached, please notify:
Name:
Phone: