Wonder Junction at Versailles Church of God of Prophecy

Family Information

Address

Street

Street 2

City

State/Province

Postal Code

Parent/Guardian First Name

Parent/Guardian Last Name

Primary Phone

Alternate Phone

Emergency Contact

Relationship to Student

Phone Number

Who can pick up this child? *We can only release your child to anyone listed on this form.

Does this child need picked up for VBS? *We provide bus transportation in Versailles

Student Information

First Name

Last Name

Gender

Male

Female

Birth Date

Age Group

5 and under

6-9

10-13

Food Allergies

Details

Medical Concerns

Details

I give permission for my child to attend VBS at Versailles Church of God of Prophecy. I release from any liability the Versailles Church of God of Prophecy and it’s staff. I also give permission for my child to be in any photographs or videos that could be used for promotion of the Church. By checking this box you agree

I have more students to register

This site is protected by reCAPTCHA, and the Google Privacy Policy and Terms of Service apply.

Cancel

Register for VBS

at Versailles Church of God of Prophecy

Family Information

Address

Student Information