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Registration
Participant
*
Indicates required field
Name of Child
*
First
Last
Gender
*
Boy
Girl
Age (must be between this age range)
*
4
5
6
7
8
9
10
11
12
13
14
15
Emergency contact
Parent's / Guardian's name
*
First
Last
Phone Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
I authorize for Cleburne First VBS photographer or videographer to take pictures or videos of my child, which may be used in the church's social media.
*
Yes
No
Submit
