2016 Vacation Bible School (VBS)

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June 27-30 (4 days only this year as it is 4th of July weekend)

Child's Last Name *

Child's First Name *

Child's Date of Birth *

YYYY

Child's Age during VBS *

3 (ONLY if child stays WITHOUT parent and is fully potty-trained)

Required

Parent's Name(s) *

Parent Cell Number (In case of emergency) *

Any medical problems or allergies?

Select method of payment ($50 per child) *

I will bring cash or check to the Sunday School office

I will pay online - please email copy of receipt to persida.bujdei@gmail.com

Other:

Are you able to help out in the kitchen on any Days? (Choose all that apply) *

No, I am sorry I cannot help.

I am a VBS teacher

Monday, June 27

Tuesday, June 28

Wednesday, June 29

Thursday, June 30

Required

IMPORTANT INFORMATION: **Please drop off children between 8:40 and 9:00 each morning **Pick up time is at 1:45 each day. Please be on time. **There will be no breakfast. Children will be given a small snack at 10:00 am and a full lunch at 12:00 pm. **Please dress your child in appropriate, comfortable clothes that can be washed. We will use various types of craft materials including paint on a daily basis. *

I have read and understand the above information.

Required

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