Church of the Good Shepherd - VBS 2022 Registration

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Vacation Bible School: Adventure Island will take place at Church of the Good Shepherd Arcadia (400 W Duarte Road, Arcadia, CA 91007) from July 18th, 2022 - July 22nd, 2022 (5:30pm - 8:00pm). Cost is $25 per child (kid friendly dinner included) and open to all current preschool through 5th grade students. Please fill out one response per child.

Online payment can be made here: https://www.eservicepayments.com/cgi-bin/Vanco_ver3.vps?appver3=Fi1giPL8kwX_Oe1AO50jRuyxEYS5gY7Jt42XV-y7Y1tEOVZpPcIw91FrYieK2rA42EvVVAEjqawDomKT1pbouf6Mp2Pg697uG49oP3fJ9CA=&ver=3

Name of Child (First and Last) *

Rising Grade Level (grade child will enter in the fall) *

Child's T-Shirt Size (Please indicate whether you would like youth or adult sizing i.e. Youth Small or Adult Small) *

Name of Emergency Contact (First and Last) *

Emergency Contact Phone Number *

Preferred Email Address for Reminders *

May we photograph your child? *

Yes - I consent to having my child's photograph taken and understand that these pictures may be shared on the church website or other platforms.

No - I do not consent to having my child's photograph taken.

Does your child have any allergies or dietary restrictions? *

Any other information about your child you think we should know? *

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