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Child's First Name*
Child's Last Name*
Age*
Please enter a number from 4 to 11.
Grade Level (completed): Pre-K through 4th Grades*
Please select the class that applies for your child’s completed grade level. For example, if your child has completed 2nd grade and is going into 3rd next year, please select 2nd grade.
Parent(s) First Name*
Parent(s) Last Name*
Parent Phone Number*
Street Address*
City*
State*
Zip Code*
Parent Email Address*
Emergency Contact Phone Number*
Emergency Contact Name*
Does your child have any allergies, special needs, or learning disabilities? If so, please list below.
How did you hear about TCAAB's VBS?
Initials*

I understand that the members of The Church at Alden Bridge will NOT be allowed to administer any medications, insect repellant, or sunscreen. I will apply insect repellant or sunscreen prior to bringing my child to VBS. I also agree that my child will be in the care of The Church at Alden Bridge’s volunteers and I hold The Church at Alden Bridge and all volunteers harmless for any injuries my child may sustain. I understand VBS will be from 9:00am to 12:00pm and agree to pick up my child promptly at 12:00.

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