2019 Vacation Bible School VBS 2019 Registration If you are a human and are seeing this field, please leave it blank. Fields marked with a * are required. Last name of child * First name of child * Current Grade * Age * Allergies Address 1 * Address 2 City * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampsire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip / Post Code * Parent/guardians' names * Parent/guardians' phone Number * ** In case of an emergency we will contact the parent/guardian first Parent/guardians' email address Alternate Emergency Contact Name * Alternate Emergency Contact Phone Number * Eligible people for pickup** **All children must be signed out with their group leader by their parent or guardian in the fellowship hall at the end of each evening. However, the parent or guardian may also designate persons who are allowed to pick up their child(ren).