NGUCC Vacation Bible School Registration 2022
Give kids a grand-new perspective!  Go off-road for a Monumental Adventure through the colorful canyons and sunbaked trails of the Southwest. By exploring God’s awesomeness, kids form a rock-solid faith for the road ahead.


Join us for our Annual Vacation Bible School August 8 - 12 from 9:00 a.m. – 11:45 a.m.

Classes will be for children aged 3 through finishing grade 5.

Please note:  Child must be potty-trained and at least 3 years old to be registered.

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Email *
Student Name (first/last) *
Home Address *
Town/City *
State *
Zip Code *
Parents' Name(s) *
Phone Number(s) *
Home Church
Grade Completed in '21-'22 School Year *
Birthday
Age *
Emergency Contact Name *
Emergency Contact Phone Number *
Emergency Contact Relationship to Student *
Person Picking Up Student at Dismissal Time *
Any allergies or other health conditions the school should be aware of?  Please list all allergies and pertinent information which would be helpful to leaders, include lactose intolerance, diabetes, asthma, learning disabilities, etc. *
Permission for Medical Treatment
In case of emergency, I understand every effort will be made to contact parents or guardians.  If I cannot be reached, I hearby give permission, by filling out my name in the permission box below, for my child to receive all necessary medical treatment.
Name of Person Giving Permission *
Date Permission Given *
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DD
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A copy of your responses will be emailed to the address you provided.
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