Friendship Church

Parent/Guardian Information

Parent/Guardian First Name

Last Name

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Phone Number

Child #1

First Name

Last Name

Birthdate

Last grade completed in school

List any medical information (please include any food allergies)

Child #2

Child's First Name

Last Name

Birthdate

Last grade completed in school

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Child #3

Child's First Name

Last Name

Birthdate

Last grade completed in school

List any medical information (please include any food allergies)

Child #4

Child's First Name

Last Name

Birthdate

Last grade completed in school

List any medical information (please include any food allergies)

Emergency Contact

First Name

Last Name

Phone Number

First Name

Last Name

Phone Number

Dismissal Information

Who may pick up your child at the end of each VBS day?
If no one, leave this section blank.

Please list the name(s) & Phone number(s) of each person

Other Information

Do you attend church? If so, where?

Where do you attend church?

May we have permission to photograph your child?

May we have permission to use your child's photograph for the purpose of promotion?

Parent/Guardian Information

Child #1

Child #2

Child #3

Child #4

Emergency Contact

Dismissal Information

Other Information

FRIENDSHIP CHURCH

Worship Service

Contact Info

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