Program Information Homeschool Support MinistryRegistration Form CHILD'S INFORMATION Child's Name * First Name Last Name Child's Birth Date * MM DD YYYY Child's Age * Child's Grade Level Fall 2023 * Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade Allergies / Medical Conditions PARENT(S) INFORMATION Father's Name First Name Last Name Father's Phone (###) ### #### Mother's Name First Name Last Name Mother's Phone (###) ### #### Email * ADDITIONAL INFORMATION Do you have a home church? * Yes No What church do you attend? * Do you have experience homeschooling? Yes No From time to time, we may put pictures of our ministry programs on our website or our official social media pages. Do we have permission to use your child's picture? * Yes No Thank you for registering with VCC. We will be contacting you soon with any questions. We will then let you know the next steps.If you have any questions please call Denice at 760-365-6774 or email homeschool@vcchapel.org.
