Vacation Bible School Please complete the form below to register your child(ren) for VBS. Paraent/Guardian InformationName(Required) First Last Email(Required) PhoneAddress(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Child InformationChild Name(Required) First Last Child Date of Birth(Required) MM slash DD slash YYYY Grade in School(Required)Select OneKindergartenFirstSecondThirdFourthFifthSixthAny Allergies?(Required)Select OneYesNoIf Yes, What? I hereby give permission to Cobb Island Baptist Church to photograph and video my child while involved in class activities and performance and I hereby give authorization to Cobb Island Baptist Church to use such photographs for ALL promotional use - website, brochures and/or other publicity purposes.Permission(Required)Select OneI DO NOT grant my permissionI grant my permissionPhoneThis field is for validation purposes and should be left unchanged. Δ