VBS Registration VBS 2022 Registration June 6-10 // 9am-12pm Phone Welcome, and thank you for your interest in VBS at Sugar Hill Church! We are approaching capacity in all of our age groups, so this registration form has now been converted to a waitlist. If you are still interested in coming, please go ahead and sign up for the waitlist as available spots will be filled on a first-come, first-served basis! VBS is for kids who are going into PreK through 5th Grade for the 2022-23 school year. All children must have turned 3 years old by September 1, 2021. I understand that I am signing up for a waitlist, and my children will not be registered unless a Sugar Hill Kids staff member contacts me to complete their registration. * Yes, I understand Child 1 Information Date of Birth * Child must have turned 3 years old by September 1, 2021. Grade Entering Fall 2022 * Waitlist – PreK Waitlist – Kindergarten Waitlist – 1st Grade Waitlist – 2nd Grade Waitlist – 3rd Grade Waitlist – 4th Grade Waitlist – 5th Grade Please note that we are approaching capacity and all age groups are currently waitlisted. First Name * Last Name * Address * City * State * Zip Code * Gender * Male Female If interested, please list ONE child in the SAME grade with whom your child would like to be placed (due to group size, not all requests will be granted). Additional Comments Medical Information Does your child have food allergies? * YesNo Does your child have any medical needs? * YesNo Emergency Contact Information Emergency Contact Person * Please give us the name of someone we can contact if you cannot be reached Emergency Contact Phone Number * Emergency Contact Relationship * Media Release Signature * Child 2 Information Date of Birth * Child must have turned 3 years old by September 1, 2021. Grade Entering Fall 2022 * Waitlist – PreK Waitlist – Kindergarten Waitlist – 1st Grade Waitlist – 2nd Grade Waitlist – 3rd Grade Waitlist – 4th Grade Waitlist – 5th Grade Please note that we are approaching capacity and all age groups are currently waitlisted. First Name * Last Name * Address * City * State * Zip Code * Gender * Male Female If interested, please list ONE child in the SAME grade with whom your child would like to be placed (due to group size, not all requests will be granted). Additional Comments Medical Information Does your child have food allergies? * YesNo Does your child have any medical needs? * YesNo Emergency Contact Information Emergency Contact Person * Please give us the name of someone we can contact if you cannot be reached Emergency Contact Phone Number * Emergency Contact Relationship * Media Release Signature * Child 3 Information Date of Birth * Child must have turned 3 years old by September 1, 2021. Grade Entering Fall 2022 * Waitlist – PreK Waitlist – Kindergarten Waitlist – 1st Grade Waitlist – 2nd Grade Waitlist – 3rd Grade Waitlist – 4th Grade Waitlist – 5th Grade Please note that we are approaching capacity and all age groups are currently waitlisted. First Name * Last Name * Address * City * State * Zip Code * Gender * Male Female If interested, please list ONE child in the SAME grade with whom your child would like to be placed (due to group size, not all requests will be granted). Additional Comments Medical Information Does your child have food allergies? * YesNo Does your child have any medical needs? * YesNo Emergency Contact Information Emergency Contact Person * Please give us the name of someone we can contact if you cannot be reached Emergency Contact Phone Number * Emergency Contact Relationship * Media Release Signature * Child 4 Information Date of Birth * Child must have turned 3 years old by September 1, 2021. Grade Entering Fall 2022 * Waitlist – PreK Waitlist – Kindergarten Waitlist – 1st Grade Waitlist – 2nd Grade Waitlist – 3rd Grade Waitlist – 4th Grade Waitlist – 5th Grade Please note that we are approaching capacity and all age groups are currently waitlisted. First Name * Last Name * Address * City * State * Zip Code * Gender * Male Female If interested, please list ONE child in the SAME grade with whom your child would like to be placed (due to group size, not all requests will be granted). Additional Comments Medical Information Does your child have food allergies? * YesNo Does your child have any medical needs? * YesNo Emergency Contact Information Emergency Contact Person * Please give us the name of someone we can contact if you cannot be reached Emergency Contact Phone Number * Emergency Contact Relationship * Media Release Signature * Child 5 Information Date of Birth * Child must have turned 3 years old by September 1, 2021. Grade Entering Fall 2022 * Waitlist – PreK Waitlist – Kindergarten Waitlist – 1st Grade Waitlist – 2nd Grade Waitlist – 3rd Grade Waitlist – 4th Grade Waitlist – 5th Grade Please note that we are approaching capacity and all age groups are currently waitlisted. First Name * Last Name * Address * City * State * Zip Code * Gender * Male Female If interested, please list ONE child in the SAME grade with whom your child would like to be placed (due to group size, not all requests will be granted). Additional Comments Medical Information Does your child have food allergies? * YesNo Does your child have any medical needs? * YesNo Emergency Contact Information Emergency Contact Person * Please give us the name of someone we can contact if you cannot be reached Emergency Contact Phone Number * Emergency Contact Relationship * Media Release Signature * Questions? Contact the Sugar Hill Kids Team at 770-945-5092 or kids@sugarhillchurch.com.