>Home >Ministries >VBS Share Email Print Facebook Twitter VBS Child #1 Child's Nickname Child's Gender Female Male Child's Age Date of Birth T-Shirt Size Allergies/Medical Conditions Any Special Circumstances We Should Be Aware Of?(special needs or disabilities, and/or specific considerations). Yes No Optional: fill out the second page if you have selected "yes." Child #2 Child's Nickname Child's Gender Female Male Child's Age Date of Birth T-Shirt Size Allergies/Medical Conditions Any Special Circumstances We Should Be Aware Of?(special needs or disabilities, and/or specific considerations). Yes No Optional: fill out the second page if you have selected "yes." Child #3 Child's Nickname Child's Gender Female Male Child's Age Date of Birth T-Shirt Size Allergies/Medical Conditions Any Special Circumstances We Should Be Aware Of?(special needs or disabilities, and/or specific considerations). Yes No Optional: fill out the second page if you have selected "yes." Name of guardian(s) Address Afghanistan Albania Algeria Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Terr. Bonaire (Dutch Caribbean) Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, Democratic Republic of Cook Islands Costa Rica Cote D'ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Terr. Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Isl. & Mcdonald Isl. Vatican City State Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, D P R Korea, Republic of Kuwait Kyrgyzstan Lao People's D R Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia, Former Y R of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, O Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent & Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia & S S Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States M O Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Home telephone/Cell Parent/guardian's cell phone Home church Custodial arrangement if applicable: In case of emergeny, contact Phone/cell I give permission to call 911 in case of emergency Yes No Photographs will be taken during VBS. Do you give permission for your child's photo to be taken? Yes No Submit Optional: Special Needs Survey Please fill out this survey only if you selected "yes" to Special Needs on the Registration Form. We are excited to have your child here at VBS! We believe that every child has God-given strengths and abilities. We would love to get to know your child better in order to encourage these strengths and abilities as well as to support them in the areas where they may need additional help. Please fill out the forms below so that we can get to know your child better. Child Name Parent's Name My child has the following educational label or medical diagnosis: My child's primary means of communication is: Additional information concerning my child's allergies or food sensitivities: My child's favorite activities and interests are: My child avoids doing or becomes easily frustrated with the following activities: If my child becomes overwhelmed or frustrated they will respond best to: My child's strengths are: My child needs help with: What suggestions do you have that may help us create the best possible experience for your child? What information would you like us to share with other children at VBS that will help them to better know, accept and understand your child? Submit Related Information Ministries Adventurer CARE Group Pathfinders Sabbath School
