VBT Registration — First Presbyterian Church of Warminster

1st Child's Name

First Name

Last Name

1st Child's Age

1st Child's T-shirt Size

2nd Child's Name

First Name

Last Name

2nd Child's Age

2nd Child's T-shirt Size

Parent's Name

First Name

Last Name

Email Address

Phone

(###)

###

####

Emergency Contact Name (non-parent)

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Allergies?

Special Information

Pictures may be taken of the participants for church, website, and VBS use.