VBS Registration | Cornerstone Bible Church

VBS 2018 @ The Ministry Center

First Child's Name*
First Last
First Child's Grade (just completed)*
Second Child's Name
First Last
Second Child's Grade (just completed)
Third Child's Name
First Last
Third Child's Grade (just completed)
Parent/Guardian Information
Parent/Guardian Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Home Church (if you have one)
Are there any allergies, special needs or medical conditions we should be aware of?
Emergency Contact Name*
First Last
Emergency Contact Phone*
Photo Release Signature*
By typing your name below (required), you verify that you understand and agree that Cornerstone may use photographs of children at VBS to promote or share about the event. Photos may be used on our website and/or other print and electronic publications.