Milam County Cowboy Church

Register here! Use code MC3 Cow Camp

Print VBS Registration Form

Online Registration

First Name

Last Name

Birthdate

Parents name(s):

Phone Number

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Allergies

In case there is an emergency, please provide insurance information: Provider_____________________________________________
Group # _____________________________________________
Name of Insured _____________________________________
Insurance phone ____-_______________ ====================================================================I give my permission to the VBS staff to make medical and dental decisions for my child until I can be notified.
Parent/Guardian _____________________________________________ Date: ____ / ____ / 2024

We would love to have your assistance for VBS this year! Would you be interested in volunteering? Yes / No
If yes, circle the evenings you are available: M T W TH F
(You will be contacted by phone # listed above)

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