New Hope Christian Church

Student's Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Guardian's Name *

First Name

Last Name

Guardian's Phone *

(###)

###

####

Emergency Contact *

Please list another adult not listed above

First Name

Last Name

Emergency Phone *

(###)

###

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Social Media Permissions

Pictures/videos from New Hope's VBS will be posted to our public & private Facebook Pages. Please let us know if you prefer us to keep your student's face from this social media.

It's okay to show my student's face.

Please do not show my student's face.