Cornerstone Church 2025 Vacation Bible School Registration

FIrst Name

Last Name

Phone Number

Your Phone Number

(###)

###

####

Phone Type

Cell

Home

Other

Address

Your Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Child's Name

First Name

Last Name

Child's Gender

Female

Male

Child's Birthdate

YYYY

Grade Completed

Parent/Guardian

Emergency Contact

Please include name, phone number and relationship to child

Pickup

Who may pickup your child?

Food Allergies?

Yes

Food Allergy Detail

If Yes, Please list allergies

Medical Concerns?

Yes

Medical Concerns Detail

If Yes, Please list concerns

Home Church

Name of your home church

Comments

Additional information?

NOTICES: 1) By submitting this registration form you are granting permission to Cornerstone Church Chrisney to publish your child’s photograph. 2) When submitting this registration form your email address will be included in the Cornerstone Community database for the purpose of keeping you better informed about Cornerstone VBS, events and important news. We will never share or sell your information. Please advise us if you wish to remove your email address from the Cornerstone Community data. Thank you. Cornerstone Church Chrisney

Summer VBS/Registration

Cornerstone Church 2025 Vacation Bible School Registration

Cornerstone Church