2024 Vacation Bible School Registration

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Throughout this exciting week children will know that they have been granted the greatest win through the love of Jesus Christ. Each day, they will see how Olympic sports illustrate scriptural truths about the Christian journey. The gospel-centered lessons and Olympic-themed activities emphasize training in the Word, trusting in God as a part of His team, serving our fellow Christian teammates, and celebrating the victory through Jesus. VBS is open to children finishing preK-5th grade during the 2023-2024 school year.

Email *

Child's Name (one form per child, please) *

Grade Completed (during the 2023-2024 school year) *

Pre-K

Kindergarten

1st grade

2nd grade

3rd grade

4th grade

5th grade

Child's Birthdate *

YYYY

Guardian's Name *

Home Address - Street Address *

Home Address - City, State *

Home Address - Zip Code *

Primary Contact Number (please include area code) *

Alternate Contact Number (please include area code) *

Name of Emergency Contact *

Emergency Contact Number (please include area code) *

Siblings attending this week's Vaccation Bible School *

Food Allergies *

Yes

Guardian must visit with registration and with the coaches to discuss food allergies. If a child uses an epipen, the pen must be left with the coaches each day

Medical Concerns *

Yes

Guardian must visit with registration and with the coaches to discuss concerns. CCC cannot dispense medication during VBS.

Other:

Child's Primary Care Physician *

Child's Primary Care Physician Phone Number *

Preferred Hospital *

In the event that I cannot be reached to make arrangements for emergency medical attention, I authorize Central Christian Church, Vacation Bible School Director, or Person-In-Charge to have my child taken to the above listed hospital. (Guardian's name should be written below as a digital signature.) *

I am a member of Central Christian Church *

Yes

Church Membership at: *

Person(s) First and Last Name(s) who may pick up my child: *

Please leave any comments or concerns for us and we'll contact you! *

Team Jesus VBS leaders have permission to photograph/film the minor designated above for any lawful purpose associated with this VBS program. Thank you for giving us the opportunity to teach your child about the importance of serving and celebrating in the life of Jesus Christ through the excitement of sports, teamwork and new friendships! See you in June!

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