2017 VBS Registration Form
Welcome to CrossPoint, Great Bend's VBS registration form. We are excited to have your kids join us for Vacation Bible School this year. VBS is June 4th-8th and is for kids 3 yrs old (Pre-K) through 6th grade, dinner is provided, and pick-up may be provided (depending on availability). For more information contact CrossPoint, Great Bend at 620-796-2202 or email greatbend@crosspointnow.net.

Schedule:
Sunday-Thursday, June 4th-8th, 5:30 - 8:45 p.m.
Sunday Family Night, June 11th, 5:00 - 8:00 p.m.

Parent/Guardian First Name:
Your answer
Parent/Guardian Last Name:
Your answer
Street Address:
Your answer
Mailing Address (if different):
Your answer
City:
Your answer
Primary Cell Phone #:
Your answer
Primary Home Phone # (if different than cell):
Your answer
Email Address:
Your answer
Emergency Contact #1 (first & last name):
Your answer
Emergency Contact #1 Phone #:
Your answer
Emergency Contact #2 (first & last name):
Your answer
Emergency Contact #2 Phone #:
Your answer
Who may pick up your child at the end of each day?
Your answer
Does your child attend church anywhere? If so, where?
Your answer
Does your child need a ride in the church van (children will be picked up at the home address)?
May we have permission to photograph your child?
May we have permission to use your child's photograph for promotion (the church website or Facebook)?
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