2020 EVBS HYBRID Registration
Location:
In your homes with Evening Park Celebrations!

Hosted by: First Lutheran Richmond Beach and Bethany Community Church North  

Dates: June 29-July 2nd Monday-Thursday
Time: 9:00 AM- 12:30 PM
Cost: $5 per child $15 max family (Registration includes a t-shirt for each child/all supplies for Curriculum and )
To pay: http://flrb.org/worship-with-us/online-giving/

Scholarships
Please include a scholarship request with your registration.
No family will be turned away!

Mark Your Calendar:  PICK UP PARTY!
Sunday June 28th, 2pm-4pm
*Home Delivery is available if this time don't work!




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Child's Last Name *
Child's First Name *
Child's Birthday *
MM
/
DD
/
YYYY
Please select the grade your child is ENTERING. *
Required
Special Dietary Needs/ Physical Restriction and Other Important Medical Information *
Family Email *
What is your families address?
Parent First and Last Name *
Parent Cell Phone Number *
Emergency Contact Name & Cell Phone Number *
T-shirt size *
Volunteer Information (select all that apply) *
Required
For all volunteers working with children, which training time will you attend? *
Required
Payment Option *
Media Release: We hereby give permission for EVBS to photograph or film our child(ren) for in-house pictures, for publicity. (Such as brochures, web page, newsletter, and/or advertisements.) *
Medical authorization:  My son/daughter has permission to engage in all EVBS activities on and off property for 2019.  In the event I cannot be reached in an emergency, I give my permission (to the physician selected by my child’s chaperone) to secure proper transportation and treatment for my child(ren) as named above *
Required
By Checking this box you confirm that you are agreeing and digitally/electronically signing this document. *
Required
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