2023 VBS Sign Up
Please complete the form below to enroll your child/children for Vacation Bible School (July 24- July 28, 9 am - 12pm).  This is for any student who will be enrolled in Pre-K through 5th grade in the 2023-2024 School Year. If you have any questions you may contact Stephanie Starke at ICsredirector@gmail.com or call/text her at (423) 489-0073. If you would like to make a donation to the Vacation Bible School Fund you may do so in the church office. This year there is a list of items we would like to have donated, however we will appreciate and accept any form of donation (monetary, volunteering time, items, etc.).  Look forward to seeing you in July!
Sign in to Google to save your progress. Learn more
Please list child/children's' names, birthdates, and grade they will be entering into this fall below (Ex: Peter 6/3/13 4th grade, Bene 12/7/15 1st grade, etc.) *
Please list child/children's t-shirt sizes below (Ex: Peter- YS) Sizes available Youth XS -Adult 3x. *
Please list any allergies your child/children may have below (Ex: Vincent- Peanuts, Tree nuts, etc.)
Please list the the parent/guardian names and contact information including email address below and place an asterisk next to the number you prefer to be contacted in case of emergency (Ex: Stephanie Starke (423) 489-0073* Stephanie.m.starke@gmail.com, Joey Starke (555) 555-5555 joeystarke@gmail.com) *
Please list up to two emergency contacts below (Ex: Betty Starke grandma (555) 555-5555, Ashley Litz friend (555) 222-2222) *
Please your child's/children's doctor and phone number below, as well as which hospital you prefer in case of emergency(Ex: Dr. Grigery (573) 331-6750 Southeast Hospital) *
Please list below who may pick up your child/children below along with their contact information (Ex: Stephanie Starke (423) 489-0073, Betty Starke (555) 555-5555). *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy