VBS 2025 Safari | Shiremanstown COG

Parent/Guardian Name

Phone Number

Address

Please choose the number of children attending.

1

2

3

4

In the Case of an emergency what is your preferred hospital?

Emergency Contact Name

Emergency Contact Phone

Do you want a reminder text one day before VBS? (We won't text you after that)

I give my consent for the Shiremanstown Church of God to use photos and video of my child

on social media (Facebook, Instagram) and for the use of promotional material.

I accept the terms and conditions VBS Terms