2024 DCC VBS Participant Registration
Join Us for a Week Long SCUBA Bible Adventure where we will be "Diving Into Friendship with God!"  

June 10-14, 2024    9am - 12pm

** This form is for Children 4 Years of Age through 5th Grade in the Fall 2024 **

Children going into 6th grade in the Fall 2024 should fill out the VOLUNTEER VBS registration form.

Please contact us with questions:
Maddie@DillonChurch.org
970-468-2461 +church

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Email *
Child's First Name *
Child's Last Name *
Child Date of Birth *
Year will default, please correct with your child's correct birth date
MM
/
DD
/
YYYY
School Grade for FALL 2024 *
Age (as of June 1st 2024) *
School Child Attends *
Name of Parents *
Parent Primary Phone Number *
Parent Secondary Phone Number *
Mailing Address/PO Box Number *
Mailing Address/City, State and Zip *
Emergency Contact Name *
Emergency Contact Number *
Allergies (you will need to provide a snack each day if your child has allergies) *
Home Church *
Attendance Days *
Required
List ONE friend your child would like to be in a group with (no guarantees but we will do our best!) *
Anything you would like us to know about your child: *
Ways to help at VBS: *
A copy of your responses will be emailed to the address you provided.
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