Child's Name:
What grade will your child be entering at school next year?
Please tell us here if your child has any allergies or medical conditions that we need to know about [this information will not be kept on file after the end of VBS week]
Second Child's Name:
What grade will your second registered child be entering at school next year?
Please tell us here if your second registered child has any allergies or medical conditions that we need to know about [this information will not be kept on file after the end of VBS week]
Will you be submitting more than one form in order to register more than 2 children for VBS?	Yes No
Will your child[ren]:	Be transported to and/or from VBS by you? Be transported to and/or from VBS by another adult? Need transportation provided to and/or from VBS? Have other transportation arrangements? [please explain in the "comments" box]
Your Name:
Email Address:
Home address:
Preferred Contact Phone Number:
Alternative Phone Number:
Emergency Contact Information [Name, Number, Additional Instructions]:
Will this be your family's first contact with Warrenville Bible Chapel?	Yes No
May Warrenville Bible Chapel use these contact details for purposes other than to confirm VBS registration and arrangements? [WBC will NEVER release ANY provided information to external entities unless required to by law]	Yes No
How did you hear about Amazon Expedition - The Quest For Truth?
Please put any additional comments or questions here!
By registering your child[ren] for Amazon Expedition - The Quest For Truth, you are authorizing any medical treatment which may be necessary in the case of any accident that results in injury or illness while your child[ren] is/are at Warrenville Bible Chapel, and/or during transportation to and/or from the chapel. You are also agreeing not to hold Warrenville Bible Chapel or its volunteers liable for losses, damages or injuries which occur during these times. Do you accept this statement?	Yes No
Please re-enter your name here as an electronic substitute for your signature in acceptance of the above statement:
Today's Date: