Vacation Bible School 2021
Pre-schoolers and those entering Kindergarten (ages 3-6) (must be out of diapers)
Monday June 14 - Friday, June 18  9AM - 11:30AM
$20 per student/$60 max per family
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Name of Parents/Guardians *
Address *
Father's Phone Number *
Mother's Phone Number *
Family Email *
Additional Emergency Contact *
Name and phone number of an adult to reach in case of emergency in the event that you cannot be reached at the numbers above.
Available to Volunteer *
Volunteer Opportunities for Adults and High Schoolers
Mark the way you would like to help:
Name of Adult or High School Volunteer
Adult/High School Volunteer T-Shirt size (adult):
Mark the way you would like to help:
Volunteer Opportunities for 6th, 7th and 8th Graders (grade entering in the Fall):
Mark the way you would like to help:
Name of 6th, 7th and 8th Grader Volunteer
6th, 7th and 8th Grade Volunteer T-Shirt size (adult):
Mark the way you would like to help:
Name of Child #1 *
Please only list one child here. If you are registering more than one child, you can do so in the next section.
Age of Child #1 *
Medical Info to be Aware of for Child #1 *
Food allergies, etc.
Name of Child #2
Age of Child #2
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Medical Info to be Aware of for Child #2
Food allergies, etc.
Name of Child #3
Age of Child #3
Clear selection
Medical Info to be Aware of for Child #3
Food allergies, etc.
Name of Child #4
Age of Child #4
Clear selection
Medical Info to be Aware of for Child #4
Food allergies, etc.
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