What grade will your child be going into in September? *
First and Last Name(s) of parent(s) *
Your answer
What is your address? *
Your answer
What is your cell phone number? *
Your answer
What is your teenager's cell phone number? *
Your answer
What is your email address? *
Your answer
What is your home church? *
Your answer
How did you hear about our VBS program? *
Your answer
Does your child have any allergies? If yes, please explain. *
Your answer
Does your child have special needs? If yes, please explain. *
Your answer
Who would be an emergency contact for your child? Please provide name and relationship to child. *
Your answer
Please provide cell phone # of emergency contact. *
Your answer
I understand and agree that my child will follow all Covid safety guidelines which includes staying home if they aren't feeling well, etc. *
I understand that there will be a fire truck water day on the last day of VBS at 12:30pm and a BBQ and church service on Wednesday, August 10th at 6:00pm. *
I understand that a payment of $50 is due per child in the form of online payment, cash or check and can be dropped off to the church office or mailed to the church. See link to pay in the email. *
I understand that my child will be traveling to various service sites during the VBS week. Therefore, I give permission for my child to be transported by one of our adult leaders throughout the week. *