Shreve Community VBS Registration 2021

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

July 12-15
5:30 pm Meal for Community
6:00pm - Sign In
6:15pm - Opening (for all VBS families)
6:30-8:15 - VBS program
8:15 pm - Closing (for all VBS families)
8:30pm- Sign Out

June 23
10:30-11:45am - VBS Sunday at Shreve UMC, all VBS families welcome

Email *

First, Last Name (Parent/Guardian)

Primary Phone Number (Parent/Guardian)

Secondary Phone Number (Parent/Guardian)

First, Last Name (Adult who can also pick up my child)

Primary Phone Number (Adult who can also pick up my child)

First, Last Name (Child)

Age (Child)

Gender (Child)

Female

Male

Clear selection

Grade (completed for the 2018-2019 school year)

Preschool

Kindergarten

First

Second

Third

Fourth

Fifth

Sixth

7-12th grade (youth helper)

Clear selection

School Affiliation

Shreve Elementary

Franklin Township Elementary

Wooster Township Elementary

Nashville Elemnatary

Lakeville Elementary

Other:

Clear selection

Church Affiliation

Shreve Christian Chruch

Hopewell Presbyterian Church

Shreve Presbyterian Church

Shreve United Methodist Church

Other:

Clear selection

Mailing Address (include city, state, zip)

Are there any medical issues the VBS team should be aware of? (i.e. allergies, medicines, mental/physical...)

Any additional information/requests...

I allow my child to be photographed or video recorded at VBS for the promotion and sharing of Shreve VBS memories. I understand no names will be used and it will only be shared on the VBS Facebook page and Shreve UMC website.

Yes

Clear selection

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms