VBS Child Registration Items with an * are required. First Name of Child:* Last Name of Child:* Gender:* Male Female Address 1:* Address 2: City:* State:* Zip / Postal Code:* Telephone #:* Email: Father's Name: Mother's Name: School Grade Entering:* (in 9/2020) Select Grade Kdg 1st 2nd 3rd 4th 5th 6th 7th Birth Date:* (mm/dd/yyyy) Church Home, if any: Allergies? (If none, type "none", otherwise please list allergies):* Alternate Name for Emergency Use:* Alternate Phone for Emergency Use: * Is a parent helping at OEPC's VBS? Yes No Parent's Name Helping: I agree that OEPC may videotape or photograph my child and record his or her voice during their participation in VBS. I agree that OEPC will be able to use them, in whole or in part, whether in original or modified form, in any manner or media, including without limitation, for the purpose of advertising, promoting and publicizing OEPC whether during VBS or thereafter. Agree I Do Not Agree Any questions, concerns or special requests? (Confirmation emails will be sent beginning April 6, 2020. Each registration will receive a confirmation email. If you do not receive a response, please contact the VBS team using the VBS Question Form.)
