VBS Registration Form
State / Province / Region
Emergency Phone Number
Child 1 - Name and Age
Child 2 - Name and Age
Child 3 - Name and Age
Child 4 - Name and Age
Any food allergies we should be aware of?
Name of person picking up your child
Parent's name giving permission to attend
By typing your name, you are affirming that you are the parent or legal guardian of the above children and give permission for them to attend Shoreline's Vacation Bible School.