VBS - Atlanta Romanian SDA Church

Thank you for your interest in this years Vacation Bible School at the Atlanta Romanian SDA Church. This year our VBS will be held at the church from July 17 – July 11. If you would like to enroll your child please complete the form below. We look forward to seeing you there!

VBS Registration

Childs Name

First

Last

Grade Completed

Birthday

Age

Parent's Name(s)

Home Address

Emergency Contact Person

Relationship to Student

Emergency Phone Numer

Alternate Phone Number

Any Food Allergies?

If Yes, Explain

Any Medical Concerns?

If Yes, Explain

Family Doctor

Doctors Phone Number

Siblings Attending VBS Names (One Per Line)

Siblings Attending VBS Age's (One Per Line)

Church Affiliation

Church Membership At

Person(s) Who May Pick Up the Child (List Names and Phone Numbers)

Transportation Needed?

Vacation Bible School (VBS) leaders have permission to photograph/ film the minor(s) designated above for any lawful purpose associated with this VBS program. (Please Sign Below by Typing Your Full Name)

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