Register Me for the Egypt File! Child's Name * First Name Last Name Gender * Birthdate * MM DD YYYY Grade Completed * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Parents/Guardian * Home Phone * (###) ### #### Work Phone (###) ### #### Cell Phone * (###) ### #### Email * Emergency Contact * Relationship to Child * Phone * Please place my child with Name of home church Food allergies? * Yes No If yes, please list food allergies Medical concerns? * Yes No If yes, please list medical concerns Permission to take and use your child’s photo on church website and Facebook page? * Yes No Thank you for registering for VBS!