Christ´s Fellowship Church
15203 State Route 92 Hwy P.O. Box 45
Kearney, MO 64060
816-628-4222

VBS REGISTRATION

Welcome to the VBS registration form!

VBS is June 26-30 from 6:00 P.M. to 8:30 P.M.

Please fill out completely.
Items with a red asterick are required. If you have any problems with this form please contact us.

Email: information@cfckearney.org
Phone: 816-628-4222

* Required Fields

*Are you registering more than one Child:	No Yes
*Child's First Name:
*Child's Last Name:
*Age:
*Last Grade Child Completed:
*Parent or legal Gaurdian Name:
*Address:
*City:
*State:
*Parent or Legal Gaurdian home phone number:
Parent or Legal Guardian cell phone number:
Email Address:
*Emergency Contact (if parent or guardian cannot be reached):
*Emergency Contact phone number:
Attach a picture of your child (optional):	Accepted file types
*Allergies or Other Medical Condition:
Home Church:
*I agree that the information provided is correct to the best of my knowledge:
*I give consent for my child/ren to be photographed and/or video recorded and give exclusive rights to Chris't Fellowship Church in regards to photographs and videos. Furthermore Christ's Fellowship Church has the right to use all photographs and/or videos:	Yes No
Please click the Send button only once.