2024 VBS Registration
The East Bend and Dewey Community Churches are excited to invite your child to Vacation Bible School! The theme for 2024 will be "Breaker Rock Beach:  God's rock solid truth in a world of shifting sands. Romans 12:2
PLEASE read carefully and SUBMIT ONE FORM PER CHILD

1. Children who turn 4 by Sept 1, 2024 through students who completed 8th grade in 2024 are welcome
2. VBS Dates are Monday-Friday, June 3-7th from 9:00-11:30 am at East Bend Church (702 CR 3300 N, Fisher)
3. We will be hosting a closing program on Friday June 7th at 7:00 pm at EBC for the VBS students and their families and friends.
4. We are looking forward to a GREAT week! Please feel free to text Megan Hansens at 217-898-9039 with any questions about this form.

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Email *
Parent First Name *
Parent Last Name *
Parent Phone Number *
Parent Address *
Child First Name *
Child Last Name *
Child's Birthdate *
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DD
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YYYY
Grade completed in the 2023-2024 school year, or for kids who have not completed Kindergarten please select their age. 
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Emergency Contact First and Last name (besides parent listed above)
 *
Emergency Contact's Phone Number
 *
Is there any additional info we should know about your child (allergies, etc) as we prepare for VBS?
If this child is a younger sibling and he/she will be collected at pickup time by an older sibling attending or helping at VBS, please provide the older sibling's name.
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