Waynesburg Christian Church VBS 2023 Family Registration Form

We're so excited for VBS this year!  We hope your family will join us for a trip through the church, A.D. with an 80s twist!  Sunday-Wednesday nights June 4th-7th, children 6th grade and under are invited to join us from 6-8pm for worship, lessons, crafts games and lots of fun! On Thursday, June 8th, we invite the whole family back for our Family ReRun!  Children and parents will join together for an evening of family fun like you haven't seen since the 80s!

The family registration form below can be used for each child attending VBS that lives at the same address as listed in the family info section.  Please note that children 2 years and under will need a parent attending VBS with them in order to attend our family class.  Junior High and High School students wishing to volunteer must have one of these forms on file as well, to ensure we have emergency contact info while they’re volunteering.

It is our policy to release children only to those over 16age and with a checkout tag.  In the event of a lost tag, only persons listed on this form (with proper I.D.) will be issued a new check-out tag or permitted to pick up a child.

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Father’s Name *
Father’s Phone Number *
Father’s Email Address *
Mother’s Name *
Mother’s Phone Number *
Mother’s Email Address *
Mailing Address (Please indicate if child(ren) only live with one parent and use that parent’s mailing address.) *
Emergency Contact Name (other than parent) & Relation to children *
Emergency Contact’s Phone Number *
What are the custodial arrangements (if any)?
Please type your name below if we have your permission to photograph your child(ren) for promotional purposes.
Please type your name below if we have your permission to seek medical treatment for your child(ren) if you can not be reached.
Child One’s Name *
Child One’s Birthdate *
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Child One’s Gender *
Child One’s 23-24 Grade *
Child One’s Shirt Size *
Child One’s Allergies/Medical Info/Special Instructions
Child Two’s Name
Child Two’s Birthdate
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DD
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YYYY
Child Two’s Gender
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Child Two’s 23-24 Grade
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Child Two’s Shirt Size
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Child Two’s Allergies/Medical Info/Special Instructions
Child Three’s Name
Child Three’s Birthdate
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DD
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YYYY
Child Three’s Gender
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Child Three’s 23-24 Grade
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Child Three’s Shirt Size
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Child Three’s Allergies/Medical Info/Special Instructions
Child Four’s Name
Child Four’s Birthdate
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DD
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YYYY
Child Four’s Gender
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Child Four’s 23-24 Grade
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Child Four’s Shirt Size
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Child Four’s Allergies/Medical Info/Special Instructions
Child Five’s Name
Child Five’s Birthdate
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DD
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YYYY
Child Five’s Gender
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Child Five’s 23-24 Grade
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Child Five’s Shirt Size
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Child Five’s Allergies/Medical Info/Special Instructions
Child Six’s Name
Child Six’s Birthdate
MM
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DD
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YYYY
Child Six’s Gender
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Child Six’s 23-24 Grade
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Child Six’s Shirt Size
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Child Six’s Allergies/Medical Info/Special Instructions
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