Parent Information Name * First Name Last Name Participants Name * First Name Last Name Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Alternate Pickup Name Alternate Pickup Phone Thank you! Tell Us About Your Participant Liability FormBehavior Policy and Procedures Name * First Name Last Name Grade Leaving * Gender * Male Female Date of Birth * MM DD YYYY Shirt Size * 2T 3T 4T Child XS (2-4) Child Sm (6-8) Child Med (10-12) Child Lg (14-16) Adult Sm Adult Med Adult Lg Adult XL Adult 2XL Allergies * Medical Concerns * By registering my child for VBS, I state that I have read and agreed to the Liability and Behavior Policies and Procedures of New Beginnings Community Church above. * Yes No I agree to allowing NBCC Volunteers & Staff photograph my child and post his/her photo on NBCC's Social Media Platforms and Wesbite. * Yes No Thank you!
