VBS 2023 at First Marion

Your Email

Child's First Name

Child's Last Name

Child's Gender

Child's Grade Completed (May 2022)

Address

T-shirt Size

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Phone

Parent/Guardian Email

Emergency Contact Name (other than parent/guardian)

Emergency Contact Cell Phone

Name of person picking up your child from VBS

If more than one person will be picking up your child, please list folks who have permission to pick up your child. Your child will NOT be released to anyone not on this list.

Special Needs (allergies, disabilities, etc.)

Medications

Does First Marion have permission to seek medical attention for you or your child if necessary? (Parents/guardians/emergency contacts will be notified.)?

Yes
No

Does First Marion have permission to photograph/video your child? (Pictures/video may be used for promotional materials for First Marion, including but not limited to First Marion social media platforms and website)

Yes
No