Emerald Crossing at GraceLife Church

Family Information

Parent/Guardian First Name

Parent/Guardian Last Name

Primary Phone

Alternate Phone

Emergency Contact

Relationship to Student

Phone Number

How did you hear about our VBS?

Photography Release

Yes, I give permission for my child's photo to be taken with the understanding that no names will be used.

Yes, for internal church use only. Please do not use on publicity materials outside of GraceLife church.

No, please refrain from photographing my child. I understand they will not be in the recap video, any class photos, or all the VBS photo at the end of the week.

If you have any questions about photography use, please contact Pastor Flip for more information at pastorflip@gracelifepa.org.

Register for VBS

at GraceLife Church

Family Information

Student Information