VBS Registration 2022VBS 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 AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe 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.plus1 Add Parent minus1 Remove ParentDismissal InformationWho is allowed to pick up your child/children at the end of each VBS day? Name * Relationship to Child * plus1 Add minus1 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 * XSSMLXL 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.plus1 Add Another Child minus1 Remove Child If you are human, leave this field blank. SubmitΔ