2017 Summer@KOG registration
Use this form to register a child/youth for Preschool VBS; Mystery Bus; or God's Big Backyard VBS!

**Please complete a separate form for each child you are registering**

Which program are you registering for?
Child's Last Name
Your answer
Child's First Name
Your answer
Age (at time of program)
Your answer
Grade (for Fall 2017) - enter N/A if preschool
Your answer
Parent Last Name
Your answer
Parent First Name
Your answer
Phone Number
Your answer
Email Address (confirmation of registration will be sent here)
Your answer
Allergies or Special Items of Note
Your answer
Emergency Contact Info (Name and Phone Number)
Your answer
Are you able to be present during this program to help?
If you can serve as a volunteer, how can you help? (Please describe availability and/or area of interest - games, crafts, snacks, "campfire guide" small group leader, etc)
Your answer
What is your home congregation?
If signing up for Mystery Bus, please select a T-shirt size (YOUTH sizes)
Photo Release: I give permission for my son/daughter's photograph to be used in any KOG ministry publications, including written, website, and facebook. NO IDENTIFYING INFORMATION (nametag or otherwise) will be attached to this photograph.
Payment for all programs (if required) will be received on the 1st day of the program and can be received in cash or check (payable to KOG).
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