Brooks Evangelical Free Church

2024 VBS Scuba

• • Your Child's Name*
    First Name

    Last Name
  • Address
    Street Address

    Address Line 2

    City

    Province / State / Region

    Postal Code / Zip

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    Country
  • Parent's/Guardian's Name*
    First Name

    Last Name
  • Home Phone*
     
  • Phone Number (Best phone # to reach you at during VBS)*
     

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  • Emergency Contact Name
    First Name

    Last Name
  • Emergency Contact Phone Number
     

    (###)

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  • Date of Birth (Must be between 2013 - 2018)*
    MM

    DD

    YYYY
  • Alberta Health Number*
  • Grade Finished*
    Please enter the grade your child finished in June 2024. For Kindergarten - Enter 0.
  • Email Address*
     
  • Allergies?? Please let us know if your child has any allergies. We have several different types of snacks over the week. Ex. If your child is allergic to dairy, we would plan to have an alternate snack for them if we were serving ice cream.
• 
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