In The Wild! VBS 2019
For incoming kinders to 5th grade
June 24-28 * 9am-noon $5 per child or $10 per family
Child's First Name *
Your answer
Child's Last Name *
Your answer
Grade child will be entering in Fall 2019 *
Child's T-Shirt Size *
Parent/Guardian Name *
Your answer
Parent/Guardian Phone Number *
Your answer
Emergency Contact (other than parent/guardian) *
Your answer
Emergency Contact Phone number *
Your answer
Emergency Contact Relationship to child *
Your answer
Email Address *
Your answer
Allergies *
Your answer
Medical concerns *
Your answer
Security *
Please list any custody situations, restraining orders, or security concerns here or how we can best care for your child
Your answer
People authorized to pick up child from VBS and their relationship to child *
Your answer
Photography *
May we photograph your child? We photograph events at our church for use in promotional material including but not limited to posting pictures on our church website and/or Facebook. Children are never identified by name.
Emergency Treatment *
In the event of an emergency and immediate medical attention is necessary, I consent to the church taking action which it deems necessary to secure emergency medical care/treatment for my child.
Parent Signature *
Type first and last name to confirm validity of the information provided and whom to contact if any questions in regards to the information provided.
Your answer
One more thing... How did you hear about VBS at NACC? *
Payment- You can pay on the first day of VBS with cash or check, OR you can Click the link below to be directed to the North Albany Community Church Website where you can pay via our paypal account (Click "Give", then click "Donate" at the bottom of the page)
Thank you!
Your child is now registered for "In The Wild" VBS 2019 at North Albany Community Church. You will receive an email about a week before VBS with information about where to go, what to bring, etc. If you have any questions before then, email
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