VBS Registration 2018

VBS Registration 2018

Please Cut and Paste Registration Form to Email and send to hollygrovechildrensdepartment@yahoo.com. Parents are asked to still come in on Monday and sign the Photo Authorization Form.

Thanks You,

Amy Simpson

VBS Director

 

Child’s Name and Age:

Parent’s or Guardian’s Name:

Address:

Home and/or Cell #:

Children’s Shirt Size:

People allowed to pick up child:  

                 Names                           Relationship                               Phone #

1.)

2.)

3.)

Medical Information (Including Allergies):

 

 

Grade Complete:

Code Word: