All Nations Mission Church

Where: All Nations Mission Church
When: 6/28 – 7/2 (Monday-Friday 9:30 AM – Noon)
Who: 3.5 year old (must be potty trained) – 5th grade
Only for attendants of ANMC
Registration fee: $10

Parent’s Name *

Parent’s Phone Number *

Emergency Contact Name (in case parents cannot be reached) *

Emergency Contact Phone Number *

How many children will be attending VBS?

Child #1: Name *

Child #1: Grade Completed *

Child #1: Gender *MaleFemale

Child #1: T-shirt size * (T-shirts may not be available if registered after Sunday 4/25)

Child #2: Name

Child #2: Grade Completed

Child #2: GenderMaleFemale

Child #2: T-Shirt Size (T-shirts may not be available if registered after Sunday 4/25)

Child #3: Name

Child #3: Grade Completed

Child #3: GenderMaleFemale

Child #3: T-Shirt Size (T-shirts may not be available if registered after Sunday 4/25)

Any allergies or other medical conditions for any child:

By typing my name below, I agree that All Nations Mission Church will not be liable for any accidents or any medical problems that may occur to my child during this event. Also, I agree that in case of any emergency which medical treatment should be necessary, I fully authorize church staff and teachers to act on my behalf and approve appropriate treatments. *