VBS REGISTRATION FORM - AUG. 19 - 23, 2019 

Name *
Name
Any Physical, Emotional, Behavioural Concerns:
Does your child require an Epi-pen? *
Is your child bringing an Inhaler? *
PHOTO CONSENT *
I/We grant permission for the reasonable use of pictures containing your child in brochures, promotional material, church newsletters, website, newspaper, etc.