VBS REGISTRATION

Our summer VBS is offered for those who are 5 by September 1, 2024 up to those who will be entering 6th grade in 2024. VBS is June 23rd thru June 27th 2024.

VBS Registration Form

Please fill out the form below. Thank you.

Child's Name

Child's Birthdate

Last Grade Completed (2023/2024 School Year)

Child 2 - Name

Child 2 - Birthdate

Child 2 - Last Grade Completed (2023/2024 School Year)

Child 3 - Name

Child 3 - Birthdate

Child 3 - Last Grade Completed (2023/2024 School Year)

Child 4 - Name

Child 4 - Birthdate

Child 4 - Last Grade Completed (2023/2024 School Year)

Parent/Guardian Name

Address

Parent/Guardian Cell Number

Parent/Guardian Email

Other Information: Is there anything important that we need to know about your child(ren)?
(Please include any food allergies– be sure to designate which child)

Emergency Contact Name 1 (other than listed above)

Emergency Contact 1 (other than listed above)

Emergency Contact Name 2 (other than listed above)

Emergency Contact 2 (other than listed above)

May we have permission to photograph your child for our Closing Program?

Yes No

Parent/Guardian Permission

I give my permission for my child/children to attend Vacation Bible School at Word of Life Chapel.

Transportation Permission

They also have my permission to ride the bus providing transportation in the Bainbridge area.

Do you currently attend a local church?

Yes No

If so, where do you attend?

Besides yourself, list the adults that have permission to pick your child(ren) up at the end of the night:

VBS REGISTRATION

VBS Registration Form

Please fill out the form below. Thank you.

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