True North VBS Registration Form

True North VBS: Trusting Jesus is a Wild World
June 1st-5th
6:00 PM-8:00 PM
Clinton Frame Church

Please fill out one registration form per child.

Child's First Name

Last Name

Child's Gender

Child's Age

Child's Birthdate

Child's Grade Just Completed

Are you interested in purchasing a $5 T-shirt for your child?

Yes

No

If yes, what size shirt?

Parent/Caregiver's First Name

Last Name

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Parent/Caregiver's Phone Number

Parent/Caregiver's Email

Home Church

Allergies

In case of emergency, contact:

Emergency Contact Phone Number

Relationship to Child