VBS Registration Form – Faith Alive Christian Centre | Mississauga | Brampton | Toronto

FACC VBS Registration Form

Child Name & Age*
NAME (First & Last) AGE
Parent/Guardian Name*
FIRST LAST
Phone*
Email*
2nd Parent/Guardian Name
FIRST LAST
Phone
Emergency Contact Name*
FIRST LAST
Phone*
Relationship:*
Who will attend?*
Name Adult or Child
Dietary Restrictions/Allergies or other Medical Conditions:
Please list any other information you’d like to include about your child:
Media Waiver*
- YES
- NO
Do you allow us to take photos/ Video of your child or children?