POWER UP VBS 2019 REGISTRATION
This July we want kids to discover that God wants to help them RAISE THEIR GAME. Join us as we POWER UP at M1 CHURCH! We are taking VBS to the next level with exciting games, energetic worship, captivating Bible stories, and interactive small groups.

WHEN: Sunday, July 7th FAMILY EXPERIENCE & KICK OFF @ 6pm
Monday, July 8th - Wednesday, July 10th 6-8:30 pm

WHO: age 4 through entering 6th grade for 2019-2020 school year

Cost: FREE! (MUST REGISTER BY JUNE 18th to receive a t-shirt)

Misc: Heavy snacks will be provided, but kids should eat dinner before arriving.

Please contact Michelle @ mdprather4@gmail.com with any questions.

Email address *
Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Birthdate *
Must be 4 years old and no older than entering 6th grade for the 2019-2020 school year.
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Child's Grade (for 2019-2020 school year) *
Must be 4 years old and no older than entering 6th grade for the 2019-2020 school year.
Select Your Chid's T-Shirt Size
MUST REGISTER BY JUNE 18TH to receive a FREE t-shirt!
Allergies/Special Needs
Our church cares for the success and safety of each participant inside our Children's Ministry. Does your child have an allergy, medical condition, learning difference, disability or any other special need of which our ministry team should be aware?
Your answer
Parent Name(s) *
Please list parent/guardian name that would be used for communication/contact regarding VBS information.
Your answer
Parent Phone/Text *
To be used for communication/contact regarding VBS information.
Your answer
Emergency Contact *
Please list in order the name and phone # for the parent, guardian, or other adult(s) that we'd need to reach in case of emergency during VBS.
Your answer
Authorized for Pick Up *
Please list anyone allowed to pickup your child from VBS. If whoever is picking up your child does not have the required security card for pickup, they must be on this list and present a PHOTO ID for your child to be released. Thank you for helping us maintain a secure environment for the kids!
Your answer
I understand that photos, videos, etc. of my child may be taken by the church. These photos, videos, etc may be used for church publicity purposes. *
Current Church Home
I AM INTERESTED IN TRANSPORTATION FOR MY CHILD *
24 HOURS ADVANCE NOTICE MUST BE PROVIDED to arrange transportation to and/or from our services each evening. Someone will be contacting you to collect/provide more information!
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