Register for VBS

Family Information

Address

Primary Phone

Alternate Phone

Relationship to Student Father Mother Grandfather Grandmother Great-grandfather Great-grandmother Brother Sister Uncle Aunt Guardian Foster Parent Granduncle Grandaunt Other

Phone Number

Gender

Birth Date

Food Allergies

Details

Medical Concerns

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Age Group

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Click to continue.......By submitting this form I, parent/guardian do hereby authorize Calvary Chapel as a designated agent for the undersigned to issue consent for any medical emergency treatment of my child. It is understood that a conscientious effort will be made to notify me before such action is taken. It is further understood that I release Calvary Chapel Tustin of all liabilities connected with the transportation, diagnosis, treatment, hospital care and expenses necessary for the treatment of my child. The authorization is given pursuant to the provisions of Section 25.8 of the Civil Code of California and of Section 1283 of the Health and Safety Code of California Parental Authorization

I understand that upon submission of this form, I will receive an email with the final step of payment to complete my child's registration. Payment Acknowledgment

I have more students to register