Parent's Name * First Name Last Name Email Phone * (###) ### #### Children's Name * First Name Last Name Child's age at time of VBS 6 7 8 9 10 11 12 13 14 First Name Last Name Child's age at time of VBS 6 7 8 9 10 11 12 13 14 First Name Last Name Child's age at time of VBS 6 7 8 9 10 11 12 13 14 Please list any allergies your child has PERMISSION TO USE PHOTOGRAPH * By letting my child attend VBS, I give my permission for Fusion Lowell to use photography of my child in publications, websites, videos, brochures, or any promotional material produced by them or other press release distributed to the media. Yes No Thank you! AUG 19TH-23RD Monday - Friday 9:45 AM - 12:30 PM Register for VBS 2024
