Vacation Bible School Registration 2025 HiddenNext Steps: Sync an Email Add-OnTo get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.Parent/Guardian InformationFull Name(Required) First Last Primary Address Street Address Address Line 2 City ZIP Code Your Phone(Required)Your Email Address(Required) Email Address Confirm Email Address Child/ren InformationName(Required) First Last Grade Entering(Required) Name First Last Grade Entering Name First Last Grade Entering Name First Last Grade Entering Name First Last Grade Entering Emergency ContactName(Required) First Last Relation to Child(Required) Phone(Required)Authorized PickupName First Last Name First Last Health & MedicalAllergies Required Medical Accomodations Medications: Permissions & ConsentsI grant permission for my child to be photographed(Required) Yes No In the event that I or the emergency contact cannot be reached, I authorize emergency medical care(Required) Yes No We agree to follow the behavior covenant(Required) Yes Δ
