Cornerstone Apostolic Church - Form - VBS Student Registration

Vacation Bible School 2025 Registration Form

Student 1

First Name

Last Name

Birthdate

Allergies

Student 2

First Name

Last Name

Birthdate

Allergies

Student 3

First Name

Last Name

Birthdate

Allergies

Child(ren)'s Address

Parent / Guardian Info

First Name

Last Name

Phone Number

Email

Emergency Contacts

First Name

Last Name

Phone Number

Name(s) of People who are allowed to pick the child (ren) up.

Do you give permission for your child to have photos taken. Photos may be used for promotions or letters of thanks.

Yes

No

Signature