Register for VBS

Family Information

Address

Primary Phone

Alternate Phone

Relationship to Student Father Mother Grandfather Grandmother Great-grandfather Great-grandmother Brother Sister Uncle Aunt Guardian Foster Parent Granduncle Grandaunt Other

Phone Number

Please list the individuals who have permission to pick up your child

Student Information

Gender

Birth Date

Age Group

Food Allergies

Details

Medical Concerns

Details

Does Paradise Evangelical Free Church have permission to photograph your child? Yes No

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