VBS Child Registration Form 2022VBS Child Registration Form 2022 Note to ParentsVBS at Edmonton Chinese Alliance Church is an outreach event which focuses on reaching children and families who have not yet heard about Christ and His goodness. We are accepting children between the ages of 6 (before Jan 1, 2022) to Grade 6. However, this IS on a first come first serve basis. Please note that this is an application and once we have reached the capacity of 75 children, applicants will be placed on waitlist.The price of this camp is $60.00 per camper. The payment information will be given after registration is processed.Please enter your initials here to indicate that you have read and understood this information. Your Initials * Parents/GuardiansPlease enter at least 1 parent or guardian's information. You may add up to 2 parent or guardian's information. Parent's First Name * Parent's Last Name * Parent's Email * Parent's Cell Phone for Emergency * Parent's Backup Phone for Emergency Parent's Home Phone Parent's Address * Parent's Address Address Line 1 Address Line 1 Address Line 2 Address Line 2 City City Province Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe CountryAre you available to volunteer during the week of VBS? * Yes No Unsure What day(s)/time(s) are you available? * Communication Opt-In I agree to receive emails about VBS I agree to receive emails about other junior ministry (JMC) programsTo keep parents informed, JMC sends out program schedule, news, activity update and cancellation notice via email. Please check the box if you want to receive JMC's messages. Add Parent Remove ParentDismissal InformationWho is allowed to pick up your child/children at the end of each VBS day? Name * Relationship to Child * Add RemoveChildren Church InformationDoes your child/children attend a church regularly? * Yes No Which church does your child attend regularly? * Child's Information First Name * Last Name * Gender * Male Female Last completed grade as of June 2022 * Birthdate * Must be at least 6 years old as of JANUARY 1, 2022. T-shirt Size * XS S M L XL Allergies or Medical Information we may need to know Does your child require any special accomodations? Alberta Health Care Number (PHN) * If you prefer to submit your child’s health care number in person, please fill the blank with 99999-9999 and provide the number upon arrival to camp.May we have permission to take photos of your child during VBS? * Yes NoPhotos will NOT be used for promotion outside the church. They will be shared within the VBS group only. Add Another Child Remove Child If you are human, leave this field blank. Submit