Parent name *

First Name

Last Name

Parent Phone Number *

(###)

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Student 1 Name *

First Name

Last Name

Student 2 Name

First Name

Last Name

Student 3

First Name

Last Name

Emergency Contact Name *

First Name

Last Name

Emergency Phone Number *

(###)

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Social Media Permission *

I give permission for photographs of myself and my children to be used by Our Saviour's in publications such as newsletter, website, Facebook page, and worship screens. *

Yes

No

Where did you hear about our VBS?

OSLC Website

OSLC Street Banner

Other: Please state where