VBS Registration 2019
June 10 - 13, 2019 from 9:00 am - 12 pm
Monday - Thursday
Closing Celebration Picnic Thursday, June 13 at Noon
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Child's Name *
Grade Just COMPLETED: *
*Must be 3 years old and fully potty trained to attend unless they are the child of a volunteer.
Birthday: *
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DD
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YYYY
Age: *
*Must be 3 years old and fully potty trained to attend unless they are the child of a volunteer.
Do you plan to join us for the celebration picnic on Thursday at Noon? (Closing ceremony at 11:30am) *
Parent/Guardian: *
Parent/Guardian's Phone Number: *
*Please include number(s) where you can be reached during VBS hours!*
Parent's E-mail Address:
Mailing Address: *
Emergency Contact Information: *
*Please include Name, Relationship, Contact Number(s)*
Allergies: *
*Please type none, if there are no known allergies*
Medical Conditions/Special Needs/Other important information the child's teacher needs to know:
By typing your name below, you release adult supervisors and Faith Presbyterian Church, Clinton, LA. from responsibility for accidents during church sponsored activities. In case of emergency, I, the parent/legal guardian of the above mentioned minor, give permission to the adult sponsors of Faith Presbyterian Church, Clinton, LA. to secure proper treatment for the health and comfort of my child until I can be reached. *
By typing your name below, you give permission to Faith Presbyterian Church, Clinton, LA. to photograph and video record my child at Vacation Bible School. I give permission to copyright, use, and publish the photographs and video for any lawful purpose, including newspaper articles, church publications, and the church website.
Invited to VBS by:
Home Church:
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