VBS Registration Child Name First Last I authorize Big Canoe Chapel to use photographs in which my child appears to promote VBS on social media and other outlets. Yes No Mailing Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent/Guardian Name First Last Email Emergency Contact NumberAllergies or Special NeedsGrade Entering in August 2021 Kindergarten First Second Third Fourth Fifth Sixth Shirt Size Child XS (2-4) Child S (6-8) Child M (10-12) Child L (14-16) Child XL (16) Adult S Adult M Adult L
