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VBS Child Registration Form 2026

Christ Community Naples 2026: For children going into Kindergarten through 6th grade!

Your name *

Last name

Email address *

PARENT / GUARDIAN FULL NAME *

ADDRESS *

PHONE NUMBER *

STUDENT NAME *

DATE OF BIRTH *

AGE *

LAST SCHOOL GRADE COMPLETED *

HOME CHURCH (IF ANY)

FRIENDS / FAMILY OF YOUR CHILD AT CCN

SPECIAL NEEDS / ALLERGIES / OTHER

EMERGENCY CONTACT

NAME & PHONE NUMBER *

NAME & PHONE NUMBER *

PHOTO RELEASE *

Christ Community Naples Church/VBS has my permission to use my child's photograph publicly in VBS materials. I understand the images may be used in print publications, online publications, presentations, websites, and social medias. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.

Yes

No

T-SHIRT SIZE *

Youth Small

Youth Medium

Youth Large

Adult Small

Adult Medium

Adult Large

Other

(1) NAME & PHONE NUMBER OF PERSON WHO MAY PICK UP MY CHILD FROM VBS *

(2) NAME & PHONE NUMBER OF PERSON WHO MAY PICK UP MY CHILD FROM VBS

(3) NAME & PHONE NUMBER OF PERSON WHO MAY PICK UP MY CHILD FROM VBS

I am interested in serving as a volunteer at VBS

ALL ADULTS MUST HAVE DRIVERS LICENSE EACH DAY TO PICK UP A CHILD *

PARENT / GUARDIAN SIGNATURE *

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Christ Community Naples
info@christcommunitynaples.org
2392681050

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