Child Registration VBS 2026

Name

Date of Birth

Gender

Male Female

Phone

This address will receive a confirmation email

Grade currently enrolled in school 25-26

0-2 years (available only for children of volunteers) 3-5 years (available only for children of volunteers) Completed Kinder (TK does not qualify) Completed 1st Completed 2nd Completed 3rd Completed 4th Completed 5th

Address

Does your child have any special needs, medical conditions, or allergies?

Yes No

If yes, please explain:

Was your child invited by or a guest of someone?

Mother's First and Last Name

Mother's Cell Phone

Father's First and Last Name

Father's Cell Phone

Is the parent/guardian on site as a VBS volunteer?

yes no

Are you a part of the Northside Church family?

Yes, we attend Northside. No, we attend another church. No, we do not have a church home.

If part of another church family, what is the name of your church?

By entering your name and the date below, you agree to the following: I give my permission to Northside Baptist Church to secure emergency medical services for my child should it become necessary. I also give my consent for my child to appear in photographs taken and used by Northside Baptist Church in publications, audiovisual productions, and electronic transmissions. These photographs shall be the property of Northside Baptist Church, and will be free and clear of any claim whatsoever on my part. Finally, I understand that no child may be picked up by anyone under the age of 16 years old.

Child Registration VBS 2026

Description

Please Fix the Following